Calicutt, Bobie
Calicutt, Bobie is an sole proprietor health care provider with primary practice located at 2055 Craigshire Rd Ste 420F , Saint Louis MO 63146-4043. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Calicutt, Bobie can be contacted via phone (816) 400-4276.Contact Information
Primary practice address
2055 Craigshire Rd Ste 420F
Saint Louis MO 63146-4043
Phone: (816) 400-4276
Fax: (314) 887-7004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Missouri | |
| Other Service Providers / Community Health Worker | 172V00000X | T208137023 | Missouri |
Profile Details
| NPI number | 1730631508 |
|---|---|
| LBN Legal business name | Calicutt, Bobie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Jun 24th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730631508 | NPPES |
| Missouri | MEDICAID | 1730631508 |
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