Avery, James G

Avery, James G is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Bone And Mineral, Ste 5C, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Avery, James G can be contacted via phone (314) 454-7775.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Bone And Mineral, Ste 5C Saint Louis MO 63110-1032
Phone: (314) 454-7775
Fax: (314) 996-3087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 102827 Missouri
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 102827 Missouri

Profile Details

NPI number 1487671947
LBN Legal business name Avery, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 8 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 1487671947 NPPES
Missouri MEDICAID 206684516

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