Ceniceros, Salvador

Ceniceros, Salvador is an individual health care provider with primary practice located at 618 N Benton Ave , Springfield MO 65806-1102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ceniceros, Salvador can be contacted via phone (417) 851-1563.

Contact Information

Primary practice address
618 N Benton Ave Springfield MO 65806-1102
Phone: (417) 851-1563
Fax: (417) 831-8033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2010006881 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01052420A Indiana

Profile Details

NPI number 1457301129
LBN Legal business name Ceniceros, Salvador
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 29th, 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 1457301129 NPPES
Missouri Other 2010006881 STATE LICENSE
Missouri MEDICAID 204132302 STATE LICENSE
Missouri Other P01038084 STATE LICENSE
Missouri MEDICAID 1457301129 STATE LICENSE

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