Izen, Brenda Gail

Izen, Brenda Gail is an sole proprietor health care provider with primary practice located at 2638 Highway 109 Ste 101 , Wildwood MO 63040-1161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Izen, Brenda Gail can be contacted via phone (636) 821-2500.

Contact Information

Primary practice address
2638 Highway 109 Ste 101 Wildwood MO 63040-1161
Phone: (636) 821-2500
Fax: (636) 821-2210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R2K89 Missouri

Profile Details

NPI number 1760588768
LBN Legal business name Izen, Brenda Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Nov 30th, 2011 - about 15 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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