National Provider Identifier Database

EAR NOSE THROAT PLASTIC SURG INC
Facial Plastic Surgery


Contact Information

EAR NOSE & THROAT & PLASTIC SURG INC
2325 DOUGHERTY FERRY RD STE 106
SAINT LOUIS, MO63122-3356
Phone: 314-821-5002
Fax: 314-821-5029
Website:
Specialty Taxonomy Code
* Facial Plastic Surgery 207YS0123X

* Indicates primary specialty

NPI Profile & details for EAR NOSE & THROAT & PLASTIC SURG INC

NPI Number 1104911288
Legal business name
LBN
EAR NOSE & THROAT & PLASTIC SURG INC
Authorized official RICHARD BARNES - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/04/2006
Last updated 10/09/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 502754401
  • MO Other: 040003579 MEDICARE RAILROAD
  • MO Other: 040010750 MEDICARE RAILROAD
  • MO Other: 040017959 MEDICARE RAILROAD
  • MO Other: CP2222 MEDICARE RAILROAD

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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