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Contact Information

MARK D BRECHEISEN JR, DO
3801 S NATIONAL AVE
SPRINGFIELD, MO65807-5210
 Phone: 417-269-6583
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for MARK D BRECHEISEN JR · (Male)

NPI # 1740503416
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/09/2010
Last updated 08/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011026828
  • MO Medicaid 1740503416
  • MO Medicaid 209646009
Hospital affiliation(s)
  • FREEMAN HEALTH SYSTEM - FREEMAN WEST - (Acute Care)
    1102 WEST 32ND STREET
    JOPLIN, MO 64804
  • LABETTE HEALTH - (Acute Care)
    1902 SOUTH US HWY 59
    PARSONS, KS 67357
  • SUSAN B ALLEN MEMORIAL HOSPITAL - (Acute Care)
    720 W CENTRAL ST
    EL DORADO, KS 67042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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