National Provider Identifier Database

ST JOHNS PEDIATRIC SERVICES
Children


Contact Information

ST. JOHN'S PEDIATRIC SERVICES
621 S NEW BALLAS RD
# 2003B
SAINT LOUIS, MO63141-8232
Phone: 314-251-6299
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for ST. JOHN'S PEDIATRIC SERVICES

NPI Number 1679876734
Legal business name
LBN
ST. JOHN'S PEDIATRIC SERVICES
Authorized official JOESPH KAHN - (DEPARTMENT CHAIRMAN/SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 12/13/2010
Last updated 12/13/2010 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 2010034857

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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