Alban, Therese M

Alban, Therese M is an individual health care provider with primary practice located at 12395 Olive Blvd Suite 301, Saint Louis MO 63141-5462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Alban, Therese M can be contacted via phone (314) 973-8597.

Contact Information

Primary practice address
12395 Olive Blvd Suite 301 Saint Louis MO 63141-5462
Phone: (314) 973-8597
Fax: (314) 533-3199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2004010992 Missouri

Profile Details

NPI number 1063535623
LBN Legal business name Alban, Therese M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Apr 13th, 2011 - about 14 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 1063535623 NPPES
New York Other 430B31 PROVIDER NUMBER

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