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Contact Information

MIDWEST EMERGENCY ASSOCIATES DE PAUL LLC
12303 DEPAUL DR
BRIDGETON, MO63044
 Phone: 314-344-6000
 Fax: 630-734-1560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDWEST EMERGENCY ASSOCIATES DE PAUL LLC · (Female)

NPI # 1265479448
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2006
Last updated 02/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 506085505
Hospital affiliation(s) Not Available
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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