Swenson, Brian R.

Swenson, Brian R. is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 100, Springfield MO 65804-2201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Swenson, Brian R. can be contacted via phone (417) 820-3800.

Contact Information

Primary practice address
1965 S Fremont Ave Suite 100 Springfield MO 65804-2201
Phone: (417) 820-3800
Fax: (417) 820-3810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2011012611 Missouri
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 2011012611 Missouri

Profile Details

NPI number 1922116086
LBN Legal business name Swenson, Brian R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Nov 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922116086 NPPES
Missouri MEDICAID 1922116086
Missouri Other P01095875
Missouri MEDICAID 207498001

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