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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SONAL P BRIZENDINE, MD
2305 SOUTH 65 HIGHWAY, BUILDING A
MARSHALL, MO65340-3702
 Phone: 660-886-7800
 Fax: 660-831-3328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SONAL P BRIZENDINE · (Female)

NPI Number 1396767349
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 01/13/2016 - About 8 months ago
Sole proprietor 1 No
Identifiers
MO License # 2008034612
SC License # TL25410
Medicare UPIN I58729
SC Other BB8543995 FED DEA NUMBER
SC Other 25-25410 SC CONTROLLED SUBSTANCES
SC Other TL25410 STATE LICENSE
Hospital affiliation(s) n/a
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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