Bokermann, Elizabeth

Bokermann, Elizabeth is an individual health care provider with primary practice located at 12349 De Paul Dr Ste 100 , Bridgeton MO 63044-2512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bokermann, Elizabeth can be contacted via phone (314) 291-7900.

Contact Information

Primary practice address
12349 De Paul Dr Ste 100 Bridgeton MO 63044-2512
Phone: (314) 291-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2015008953 Missouri

Profile Details

NPI number 1679968135
LBN Legal business name Bokermann, Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Nov 19th, 2020 - about 4 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 1679968135 NPPES
Missouri Other 2015008953 LICENSE

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