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Contact Information

JANE TENQUIST, MD
1201 S GRAND BLVD
SAINT LOUIS, MO63104-1016
 Phone: 314-977-4440
 Fax: 314-977-1877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JANE TENQUIST · (Female)

NPI # 1619078466
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 01/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 109196
  • WI License # 43969
  • MO Medicaid 208050013
  • WI Medicaid 32100600
Hospital affiliation(s)
  • ST LOUIS UNIVERSITY HOSPITAL - (Acute Care)
    3635 VISTA AVE
    SAINT LOUIS, MO 63110
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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