Antoun, Amal F

Antoun, Amal F is an individual health care provider with primary practice located at 1717 Biddle St , Saint Louis MO 63106-3454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Antoun, Amal F can be contacted via phone (314) 814-8531.

Contact Information

Primary practice address
1717 Biddle St Saint Louis MO 63106-3454
Phone: (314) 814-8531
Fax: (314) 814-8542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MO 36283 Missouri

Profile Details

NPI number 1750310439
LBN Legal business name Antoun, Amal F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 10th, 2017 - about 7 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 1750310439 NPPES
Missouri MEDICAID 201719820

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