Birtwistle, Alan

Birtwistle, Alan is an individual health care provider with primary practice located at 1 Jefferson Barracks Dr , Saint Louis MO 63125-4181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Birtwistle, Alan can be contacted via phone (314) 652-4100.

Contact Information

Primary practice address
1 Jefferson Barracks Dr Saint Louis MO 63125-4181
Phone: (314) 652-4100
Fax: (314) 845-5077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2004001430 Missouri

Profile Details

NPI number 1477517860
LBN Legal business name Birtwistle, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 28th, 2024 - about 6 months 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 1477517860 NPPES
Missouri MEDICAID 209101708

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