Glenn Scott Breitzig in Columbia - Family
Glenn Scott Breitzig - NPI 1154305837
Glenn Scott Breitzig is a Family in Columbia, Missouri. Glenn Scott Breitzig practices all healthcare services and medical treatments related to Family. The NPI Number for Glenn Scott Breitzig is 1154305837. The last update date is 2019-04-24.
Glenn Scott Breitzig's current location address is 3401 Berrywood Dr Ste 300, Columbia, Missouri. You can contact this provider via phone number 5737778300 and fax number 2393322145. The mailing address for Glenn Scott Breitzig is 3401 Berrywood Dr Ste 300, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Scott Breitzig |
|---|---|
| Address | 3401 Berrywood Dr Ste 300, Columbia, Missouri |
| Phone Number | 5737778300 |
| Fax Number | 2393322145 |
| Sole Proprietor | N |
| Credentials | D.C., FNP- |
NPI Number Detail
| NPI Number | 1154305837 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2019-04-24 |
Provider Mailing Address Detail
| Address | 3401 Berrywood Dr Ste 300 |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652016515 |
| Phone Number | 5737778300 |
| Fax Number | 2393322145 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2019008101 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 381-400900 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glenn Scott Breitzig?
The Glenn Scott Breitzig has been issued the NPI (National Provider Identifier) 1154305837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Glenn Scott Breitzig's physical address?
The Glenn Scott Breitzig is physically located at 3401 Berrywood Dr Ste 300, in the city of Columbia, MO, with the postal code 652016515.
What is Glenn Scott Breitzig's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Glenn Scott Breitzig is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When was the Glenn Scott Breitzig's 1154305837 issued?
The Glenn Scott Breitzig's 1154305837 was issued on 2005-12-06.
When was the information regarding Glenn Scott Breitzig most recently updated?
The details pertaining to the Glenn Scott Breitzig, including its address, specialty, and other relevant information, were last refreshed on 2019-04-24.