Doctor Name: | DR. THOMAS JAMES BREIDENSTEIN |
NPI Number: | 1760559181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | R7369 |
Business Practice Address: | 108 E Green Meadows Rd Suite 8 Columbia, MO - 652033633 |
Business Phone Number: | 5738755900 |
Business Fax Number: | 5734496032 |
Mailing Address: | 108 E Green Meadows Rd, Suite 8 COLUMBIA |
State: | MO |
Postal Code: | 652033633 |
Phone Number: | 5738755900 |
Fax Number: | 5734496032 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | R7369 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |