1033452172 NPI number — THOMAS BRIEGEL LMT

Table of content: THOMAS BRIEGEL LMT (NPI 1033452172)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033452172 NPI number — THOMAS BRIEGEL LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRIEGEL
Provider First Name:
THOMAS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033452172
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3953 HIGHWAY 61
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUE GRASS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52726-9424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
563-340-6637
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6027 N BRADY ST
Provider Second Line Business Practice Location Address:
SUITE 'A' - SOOTHINGTOUCHWELLNESSCENTER.COM
Provider Business Practice Location Address City Name:
DAVENPORT
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52806-2100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
563-340-6637
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 172M00000X , with the licence number:  02881 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 173C00000X , with the licence number: 02881 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 175L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)