Brennen Yust
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Seneca, MO
NPI 1043029630 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1043029630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 14210 Highway 43
Seneca, MO 64865-8427 - Phone
- (417) 316-3401
- NPI assigned
- Jan 7, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
14210 Highway 43
Seneca, MO 64865-8427
Mailing address
14210 Highway 43
Seneca, MO 64865-8427
Phone (417) 316-3401
Other providers in Seneca, MO
All providers in Seneca, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.