Ballentine, Samuel James

Ballentine, Samuel James is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Pa Anatomic And Molecular Path, Saint Louis MO 63110-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ballentine, Samuel James can be contacted via phone (314) 362-5641.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Div Pa Anatomic And Molecular Path Saint Louis MO 63110-1003
Phone: (314) 362-5641
Fax: (314) 362-8950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2019024601 Missouri

Profile Details

NPI number 1881038735
LBN Legal business name Ballentine, Samuel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2013
Last updated Apr 25th, 2024 - about last year

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 1881038735 NPPES
Missouri MEDICAID 200071078

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