National Provider Identifier Database

HOWARD PARK EARLY INTERVENTION CENTER
Voluntary or Charitable


Contact Information

HOWARD PARK EARLY INTERVENTION CENTER
1078 HEADQUARTERS PARK DR.
FENTON, MO63026-1910
Phone: 636-405-2701
Fax: 636-422-1223
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X
Counselor 101Y00000X
Orthotics/Prosthetics Fitter 225000000X
Orthotist 222Z00000X
Pediatrics 2251P0200X
Pediatrics 225XP0200X
Prosthetic/Orthotic Supplier 335E00000X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for HOWARD PARK EARLY INTERVENTION CENTER

NPI Number 1396739124
Legal business name
LBN
HOWARD PARK EARLY INTERVENTION CENTER
Authorized official SHEILA CHARLTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/08/2005
Last updated 05/23/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 369-8742
  • MO Medicaid: 50373506
  • Other: 618306 ANTHEM BLUE CROSS
  • MO Other: 404413 ANTHEM BLUE CROSS
  • MO Other: 151235 BLUE CROSS OF MISSOURI
  • MO Other: 37482 HEALTHCARE USA
  • MO Other: 526870 HEALTHLINK
  • MO Other: 5859240001 MEDICARE PTAN

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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