Agans, Stephen Carl
Agans, Stephen Carl is an sole proprietor health care provider with primary practice located at 4930 Lindell Blvd , Saint Louis MO 63108-1510. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Agans, Stephen Carl can be contacted via phone (314) 361-8700.Contact Information
Primary practice address
4930 Lindell Blvd
Saint Louis MO 63108-1510
Phone: (314) 361-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 21347 | Mississippi |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 2023006574 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.202374 | Louisiana |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | PGY.1.LSUNO-EMR | Louisiana |
Profile Details
| NPI number | 1730377607 |
|---|---|
| LBN Legal business name | Agans, Stephen Carl |
| Credentials | MD/MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Jun 25th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730377607 | NPPES |
| Mississippi | MEDICAID | 02437244 | |
| Mississippi | MEDICAID | 1004871 | |
| Mississippi | Other | PGY.1.LSUNO-EMR |
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