Brischetto, Michael J

Brischetto, Michael J is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 483A, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Brischetto, Michael J can be contacted via phone (314) 251-4966.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 483A Saint Louis MO 63141-8232
Phone: (314) 251-4966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R3C38 Missouri

Profile Details

NPI number 1780656058
LBN Legal business name Brischetto, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 15th, 2014 - about 12 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 1780656058 NPPES
Missouri Other 290014698 RAILROAD MEDICARE
Missouri MEDICAID 201863800 RAILROAD MEDICARE
Missouri Other P00925264 RAILROAD MEDICARE

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