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Contact Information

WILLARD CHAMBERLIN, DO
300 1ST CAPITOL DR
SAINT CHARLES, MO63301-2844
 Phone: 314-989-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for WILLARD CHAMBERLIN · (Male)

NPI # 1437132818
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/21/2005
Last updated 04/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R6E81
  • MO Medicaid 242131134
  • MO Other 050082823 RR MEDICARE
Hospital affiliation(s)
  • DES PERES HOSPITAL - (Acute Care)
    2345 DOUGHERTY FERRY ROAD
    SAINT LOUIS, MO 63122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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