Adam, Laura Alicia

Adam, Laura Alicia is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Adam, Laura Alicia can be contacted via phone (314) 317-0600.

Contact Information

Primary practice address
10010 Kennerly Rd Saint Louis MO 63128-2106
Fax: (314) 317-0606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2008010689 Missouri

Profile Details

NPI number 1396954657
LBN Legal business name Adam, Laura Alicia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396954657 NPPES
Missouri MEDICAID 1396954657

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