Botney, Mitchell David
Botney, Mitchell David is an individual health care provider with primary practice located at 3009 N Ballas Rd 256C, Saint Louis MO 63131-2322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Botney, Mitchell David can be contacted via phone (314) 692-2228.Contact Information
Primary practice address
3009 N Ballas Rd 256C
Saint Louis MO 63131-2322
Phone: (314) 692-2228
Fax: (314) 692-2017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | R5G45 | Missouri |
Profile Details
| NPI number | 1780650549 |
|---|---|
| LBN Legal business name | Botney, Mitchell David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 13th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780650549 | NPPES |
| Missouri | Other | 290011597 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 202402947 | RAILROAD MEDICARE |
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