Bedwinek, John Morris
Bedwinek, John Morris is an individual health care provider with primary practice located at 400 Medical Plz Ste 100 , Lake St Louis MO 63367-1493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bedwinek, John Morris can be contacted via phone (636) 695-2316.Contact Information
Primary practice address
400 Medical Plz Ste 100
Lake St Louis MO 63367-1493
Phone: (636) 695-2316
Fax: (636) 639-8676
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | R8484 | Missouri |
Profile Details
NPI number | 1952367740 |
---|---|
LBN Legal business name | Bedwinek, John Morris |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2006 |
Last updated | Oct 20th, 2020 - about 4 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 | 1952367740 | NPPES |
Missouri | MEDICAID | 201801628 | |
Missouri | Other | 49795 | |
Missouri | Other | 4119583 | |
Missouri | Other | 107975 | |
Missouri | Other | 2409021 | |
Missouri | Other | 900001981 |
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