Bredemann, Jeffrey A
Bredemann, Jeffrey A is an individual health care provider with primary practice located at 5830 Nw Barry Rd , Kansas City MO 64154-2778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bredemann, Jeffrey A can be contacted via phone (816) 880-6440.Contact Information
Primary practice address
5830 Nw Barry Rd
Kansas City MO 64154-2778
Phone: (816) 880-6440
Fax: (816) 880-6021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | R9N46 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | R9N46 | Missouri |
Profile Details
| NPI number | 1972579647 |
|---|---|
| LBN Legal business name | Bredemann, Jeffrey A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jan 30th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972579647 | NPPES |
| Missouri | MEDICAID | 202986378 | |
| Missouri | MEDICAID | 100125370C | |
| Missouri | Other | 050080122 |
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