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Contact Information

EDGAR MICERE
1 PAUL PLACE CT
FLORISSANT, MO63031
 Phone: 314-570-1944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for EDGAR MICERE · (Male)

NPI Number 1124449954
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2013
Last updated 12/20/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2008034717
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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