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
Phone: (314) 974-0416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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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