Barry Ellis Breckle in Saint Louis - Family
Barry Ellis Breckle - NPI 1801858121
Barry Ellis Breckle is a Family in Saint Louis, Missouri. Barry Ellis Breckle practices all healthcare services and medical treatments related to Family. The NPI Number for Barry Ellis Breckle is 1801858121. The last update date is 2020-12-17.
Barry Ellis Breckle's current location address is 1 Jefferson Barracks Dr, Saint Louis, Missouri. You can contact this provider via phone number 3148455054 and fax number 3148455092. The mailing address for Barry Ellis Breckle is 1 Jefferson Barracks Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry Ellis Breckle |
|---|---|
| Address | 1 Jefferson Barracks Dr, Saint Louis, Missouri |
| Phone Number | 3148455054 |
| Fax Number | 3148455092 |
| Sole Proprietor | N |
| Credentials | RN, MSN, F |
NPI Number Detail
| NPI Number | 1801858121 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2020-12-17 |
Provider Mailing Address Detail
| Address | 1 Jefferson Barracks Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631254181 |
| Phone Number | 3148455054 |
| Fax Number | 3148455092 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 5862 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Barry Ellis Breckle?
The Barry Ellis Breckle has been issued the NPI (National Provider Identifier) 1801858121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Barry Ellis Breckle is physically located?
The Barry Ellis Breckle is situated at the following address: 1 Jefferson Barracks Dr, Saint Louis, MO 631254181.
What is Barry Ellis Breckle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Barry Ellis Breckle is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did Barry Ellis Breckle receive its 1801858121 assignment from the Centers for Medicare & Medicaid Services?
The Barry Ellis Breckle was assigned its 1801858121 on 2006-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Barry Ellis Breckle most recently updated?
The details pertaining to the Barry Ellis Breckle, including its address, specialty, and other relevant information, were last refreshed on 2020-12-17.
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