Brende, Joel O

Brende, Joel O is an individual health care provider with primary practice located at 5325 Faraon St. , St. Joseph MO 64506-3488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Brende, Joel O can be contacted via phone (816) 271-7273.

Contact Information

Primary practice address
5325 Faraon St. St. Joseph MO 64506-3488
Phone: (816) 271-7273
Fax: (816) 271-7376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 29002 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 299002 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2007008846 Missouri

Profile Details

NPI number 1912109760
LBN Legal business name Brende, Joel O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Sep 18th, 2017 - 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 1912109760 NPPES
Arizona MEDICAID 053184

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