Boonslick Medical Group Inc
LBN: Boonslick Medical Group Inc
Boonslick Medical Group Inc is an health care organization with primary practice located at 201 Bjc Saint Peters Dr Suite 100, Saint Peters MO 63376-3091. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Boonslick Medical Group Inc can be contacted via phone (636) 916-8228, or through Cusworth, Robert B via phone (636) 916-8228.
Contact Information
Primary practice address
201 Bjc Saint Peters Dr Suite 100
Saint Peters MO 63376-3091
Phone: (636) 916-8228
Fax: (636) 946-5774
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Missouri | |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 430954457 | Missouri |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | Missouri | |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | Missouri |
Profile Details
NPI number | 1588662803 |
---|---|
LBN Legal business name | Boonslick Medical Group Inc |
DBA Doing business as | |
Authorized official | Cusworth, Robert B Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 11th, 2005 |
Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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