Provider Demographics
NPI:1508574286
Name:FACTOR, BRIGITTE (MS, BCHN)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:FACTOR
Suffix:
Gender:F
Credentials:MS, BCHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W WREN ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9254
Mailing Address - Country:US
Mailing Address - Phone:417-501-6599
Mailing Address - Fax:
Practice Address - Street 1:712 N 22ND ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-8662
Practice Address - Country:US
Practice Address - Phone:417-501-6599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach