Barth, Eugene J

Barth, Eugene J is an individual health care provider with primary practice located at 300 Medical Plz , Lake St Louis MO 63367-1481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Barth, Eugene J can be contacted via phone (636) 625-2662.

Contact Information

Primary practice address
300 Medical Plz Lake St Louis MO 63367-1481
Phone: (636) 625-2662
Fax: (636) 669-2401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R7F20 Missouri

Profile Details

NPI number 1770544413
LBN Legal business name Barth, Eugene J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 14th, 2010 - about 15 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 1770544413 NPPES
Missouri MEDICAID 202386512

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