Boveri, Stephen Angelo

Boveri, Stephen Angelo is an individual health care provider with primary practice located at 1011 Bowles Ave Suite 215, Fenton MO 63026-2395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Boveri, Stephen Angelo can be contacted via phone (636) 680-1960.

Contact Information

Primary practice address
1011 Bowles Ave Suite 215 Fenton MO 63026-2395
Fax: (636) 680-1964
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 112092 Missouri

Profile Details

NPI number 1386679660
LBN Legal business name Boveri, Stephen Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 6th, 2012 - about 13 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 1386679660 NPPES
Missouri MEDICAID 208651604

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