Bateman, Randall John
Bateman, Randall John is an individual health care provider with primary practice located at 4488 Forest Park Ave Div Neurology Aging And Dementia, Ste 160, Saint Louis MO 63108-2283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bateman, Randall John can be contacted via phone (314) 362-1408.Contact Information
Primary practice address
4488 Forest Park Ave Div Neurology Aging And Dementia, Ste 160
Saint Louis MO 63108-2283
Phone: (314) 362-1408
Fax: (314) 286-1985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2004008546 | Missouri |
Profile Details
| NPI number | 1649296872 |
|---|---|
| LBN Legal business name | Bateman, Randall John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 25th, 2024 - about 7 months 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 | 1649296872 | NPPES |
| Missouri | MEDICAID | 209158104 |
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