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Contact Information

BRENTWOOD PAINSTOP LLC
8045 BIG BEND BLVD STE 107
SAINT LOUIS, MO63119-2714
 Phone: 314-961-7181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for BRENTWOOD PAINSTOP LLC · (Female)

NPI Number 1225548290
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2017
Last updated 10/04/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2014010441
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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