Baxter, Andrea
Baxter, Andrea is an sole proprietor health care provider with primary practice located at 12266 De Paul Dr Ste 310 , Bridgeton MO 63044-2562. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Baxter, Andrea can be contacted via phone (314) 344-6900.Contact Information
Primary practice address
12266 De Paul Dr Ste 310
Bridgeton MO 63044-2562
Phone: (314) 344-6900
Fax: (314) 645-0158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2000154561 | Missouri |
Profile Details
| NPI number | 1518984053 |
|---|---|
| LBN Legal business name | Baxter, Andrea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 20th, 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 | 1518984053 | NPPES |
| Missouri | MEDICAID | 208832709 |
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