National Provider Identifier Database

ADVANCED FAMILY MEDICINE LLC
Family


Contact Information

ADVANCED FAMILY MEDICINE, LLC
777 S NEW BALLAS RD
STE 100E
SAINT LOUIS, MO63141-8705
Phone: 803-788-5916
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY MEDICINE, LLC

NPI Number 1205290749
Legal business name
LBN
ADVANCED FAMILY MEDICINE, LLC
Authorized official CHRISTINA ROBINS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/11/2016
Last updated 04/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 144077

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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