Casper, Timothy James

Casper, Timothy James is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Casper, Timothy James can be contacted via phone (314) 454-2076.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110-1002
Phone: (314) 454-2076
Fax: (314) 747-8953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 2012017779 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2012017779 Missouri

Profile Details

NPI number 1548403181
LBN Legal business name Casper, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Jan 24th, 2018 - about 6 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 1548403181 NPPES
Illinois MEDICAID ENROLLED

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