Fissel, Brian Anthony

Fissel, Brian Anthony is an individual health care provider with primary practice located at 12639 Old Tesson Rd Suite 115, Saint Louis MO 63128-2786. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Fissel, Brian Anthony can be contacted via phone (314) 849-0311.

Contact Information

Primary practice address
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786
Phone: (314) 849-0311
Fax: (314) 849-4423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 2009012784 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2009012784 Missouri

Profile Details

NPI number 1053515726
LBN Legal business name Fissel, Brian Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 17th, 2019 - about 7 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 1053515726 NPPES
Missouri MEDICAID 1053515726

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