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Contact Information

NICHOLAS A POWERS, DO
12255 DEPAUL DR.
SUITE 600
BRIDGETON, MO63044
 Phone: 314-291-1074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NICHOLAS A POWERS · (Male)

NPI # 1346230083
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/25/2005
Last updated 02/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2008014592
  • Other 595100 BC/BS
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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