Provider Demographics
NPI:1437319589
Name:BREHM, THOMAS C
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:C
Last Name:BREHM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 RIDGE CT
Mailing Address - Street 2:STE 238
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4079
Mailing Address - Country:US
Mailing Address - Phone:785-749-0121
Mailing Address - Fax:
Practice Address - Street 1:2518 RIDGE CT
Practice Address - Street 2:STE 238
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4079
Practice Address - Country:US
Practice Address - Phone:785-749-0121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator