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
Fax: (636) 639-8676
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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