Atzemis, Adrienne Denise

Atzemis, Adrienne Denise is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Sam Clinic, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Atzemis, Adrienne Denise can be contacted via phone (314) 454-2879.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Sam Clinic Saint Louis MO 63110-1002
Phone: (314) 454-2879
Fax: (314) 454-2473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 2010010432 Missouri
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 2010010432 Missouri

Profile Details

NPI number 1083697668
LBN Legal business name Atzemis, Adrienne Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Apr 25th, 2024 - about 7 months 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 1083697668 NPPES
Missouri MEDICAID 204224505

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