Bequette, Patricia A
Bequette, Patricia A is an individual health care provider with primary practice located at 1600 Mid Rivers Mall , Saint Peters MO 63376-4360. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bequette, Patricia A can be contacted via phone (636) 397-1222.Contact Information
Primary practice address
1600 Mid Rivers Mall
Saint Peters MO 63376-4360
Phone: (636) 397-1222
Fax: (636) 278-1688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02685 | Missouri |
Profile Details
| NPI number | 1053303859 |
|---|---|
| LBN Legal business name | Bequette, Patricia A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Apr 5th, 2010 - about 14 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 | 1053303859 | NPPES |
| Missouri | MEDICAID | 1092502 | |
| Missouri | Other | 410038836 | |
| Missouri | MEDICAID | 1092502 |
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