Canonical ID: us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_mo_med_exclusions | us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 | |||
LegalEntity:description | License number: 2004011867 | eng | us_mo_med_exclusions | us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 | |||
LegalEntity:id | b82aee08268c0e7d06abb5b8aa6aadcf7534699d | eng | us_mo_med_exclusions | us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 | |||
LegalEntity:name | BRUGEMANN, JERRY J | eng | us_mo_med_exclusions | us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 | |||
LegalEntity:npiCode | 1033161120 | eng | us_mo_med_exclusions | us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 | |||
LegalEntity:sector | 20-PHYSICIAN | eng | us_mo_med_exclusions | us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 | |||
LegalEntity:topics | debarment | eng | us_mo_med_exclusions | us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653 | |||