Adem, Antoine M

Adem, Antoine M is an individual health care provider with primary practice located at 1439 Us Highway 61 Ste A , Festus MO 63028-4154. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Adem, Antoine M can be contacted via phone (636) 931-7101.

Contact Information

Primary practice address
1439 Us Highway 61 Ste A Festus MO 63028-4154
Phone: (636) 931-7101
Fax: (636) 933-2383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 111363 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 111363 Missouri

Profile Details

NPI number 1114964442
LBN Legal business name Adem, Antoine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Dec 14th, 2016 - about 8 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 1114964442 NPPES
Missouri MEDICAID 205889926
Missouri MEDICAID 507493401
Missouri Other P00258467

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