Blumenthal, Mark Frederick
Blumenthal, Mark Frederick is an sole proprietor health care provider with primary practice located at 12878 Manchester Rd Suite C, Saint Louis MO 63131-1803. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blumenthal, Mark Frederick can be contacted via phone (314) 966-6100.Contact Information
Primary practice address
12878 Manchester Rd Suite C
Saint Louis MO 63131-1803
Phone: (314) 966-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R7718 | Missouri |
Profile Details
| NPI number | 1659402238 |
|---|---|
| LBN Legal business name | Blumenthal, Mark Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Mar 31st, 2016 - about 9 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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