Bengston, Bryan

Bengston, Bryan is an sole proprietor health care provider with primary practice located at 624 Sessions Ave , Saint Louis MO 63126-1030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bengston, Bryan can be contacted via phone (314) 974-0416.

Contact Information

Primary practice address
624 Sessions Ave Saint Louis MO 63126-1030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2009005829 Missouri

Profile Details

NPI number 1073166864
LBN Legal business name Bengston, Bryan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2019
Last updated Jul 20th, 2019 - 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.

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