Baskir, Bruce Matathias
Baskir, Bruce Matathias is an sole proprietor health care provider with primary practice located at 3165 Mckelvey Rd Ste 100 , Bridgeton MO 63044. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Baskir, Bruce Matathias can be contacted via phone (314) 739-1333.Contact Information
Primary practice address
3165 Mckelvey Rd Ste 100
Bridgeton MO 63044
Phone: (314) 739-1333
Fax: (314) 739-1350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R6G51 | Missouri |
Profile Details
| NPI number | 1427165935 |
|---|---|
| LBN Legal business name | Baskir, Bruce Matathias |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jan 15th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427165935 | NPPES |
| Missouri | MEDICAID | 207930934 |
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