Birge, Stanley J

Birge, Stanley J is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 5C, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Birge, Stanley J can be contacted via phone (314) 286-2700.

Contact Information

Primary practice address
4921 Parkview Pl Ste 5C Saint Louis MO 63110-1032
Phone: (314) 286-2700
Fax: (314) 286-2701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 29153 Missouri

Profile Details

NPI number 1205854908
LBN Legal business name Birge, Stanley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205854908 NPPES
Missouri MEDICAID 200943314
Missouri MEDICAID ENROLLED

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