National Provider Identifier Database

ST LOUIS ORGANIZATION FOR CHANGING MEN
Voluntary or Charitable


Contact Information

ST LOUIS ORGANIZATION FOR CHANGING MEN
4515 OLIVE ST
SUITE 200
SAINT LOUIS, MO63108-1814
Phone: 314-645-2075
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for ST LOUIS ORGANIZATION FOR CHANGING MEN

NPI Number 1194803114
Legal business name
LBN
ST LOUIS ORGANIZATION FOR CHANGING MEN
Authorized official BARB HILTZ - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: TAX ID#: 12463256

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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