Griesemer, Bernard A
Griesemer, Bernard A is an individual health care provider with primary practice located at 4331 S Fremont Ave , Springfield MO 65804-7328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Griesemer, Bernard A can be contacted via phone (417) 820-5000.Contact Information
Primary practice address
4331 S Fremont Ave
Springfield MO 65804-7328
Phone: (417) 820-5000
Fax: (417) 820-5025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R6866 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R6866 | Missouri |
Profile Details
| NPI number | 1750421640 |
|---|---|
| LBN Legal business name | Griesemer, Bernard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | May 13th, 2013 - about 13 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 | 1750421640 | NPPES |
| Arkansas | Other | 82172 | ARK BLUE SHIELD |
| Arkansas | Other | 13118 | ARK BLUE SHIELD |
| Arkansas | MEDICAID | 200254837 | ARK BLUE SHIELD |
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