Bajt, Theresa R
Bajt, Theresa R is an sole proprietor health care provider with primary practice located at 777 Craig Rd Suite 130, Creve Coeur MO 63141-7138. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bajt, Theresa R can be contacted via phone (314) 872-7792.Contact Information
Primary practice address
777 Craig Rd Suite 130
Creve Coeur MO 63141-7138
Phone: (314) 872-7792
Fax: (314) 872-5655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2005003277 | Missouri |
Profile Details
| NPI number | 1508951534 |
|---|---|
| LBN Legal business name | Bajt, Theresa R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jan 9th, 2012 - about 12 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 | 1508951534 | NPPES |
| Missouri | MEDICAID | 494052608 | |
| Missouri | Other | 201124 |
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