Cassidy, Douglas James

Cassidy, Douglas James is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Surg Mis, Saint Louis MO 63110-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cassidy, Douglas James can be contacted via phone (314) 454-8877.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Div Surg Mis Saint Louis MO 63110-1003
Phone: (314) 454-8877
Fax: (877) 991-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2022031556 Missouri

Profile Details

NPI number 1245619154
LBN Legal business name Cassidy, Douglas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2015
Last updated Oct 7th, 2022 - about 3 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 1245619154 NPPES
Missouri MEDICAID 200113287

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