Barrett, John Jerome

Barrett, John Jerome is an individual health care provider with primary practice located at 633 Emerson Rd Ste 20 , Creve Coeur MO 63141-6739. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Barrett, John Jerome can be contacted via phone (314) 325-3068.

Contact Information

Primary practice address
633 Emerson Rd Ste 20 Creve Coeur MO 63141-6739
Fax: (314) 325-3069
Website:

Profile Details

NPI number 1205870433
LBN Legal business name Barrett, John Jerome
Credentials MS, ATC, CES
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 24th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205870433 NPPES
Missouri Other 2017031789 STATE OF MISSOURI ATHLETIC TRAINER LICENSE
Missouri Other 069702613 STATE OF MISSOURI ATHLETIC TRAINER LICENSE

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