Anzalone, John Frank
Anzalone, John Frank is an sole proprietor health care provider with primary practice located at 1055 E Terra Ln , O Fallon MO 63366-2750. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Anzalone, John Frank can be contacted via phone (636) 272-6161.Contact Information
Primary practice address
1055 E Terra Ln
O Fallon MO 63366-2750
Phone: (636) 272-6161
Fax: (636) 240-9188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R7830 | Missouri |
Profile Details
NPI number | 1861481558 |
---|---|
LBN Legal business name | Anzalone, John Frank |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 17th, 2005 |
Last updated | Dec 23rd, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861481558 | NPPES |
Missouri | MEDICAID | 240294009 |
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