Cerny, Roger G.

Cerny, Roger G. is an individual health care provider with primary practice located at 11133 Dunn Road , St Louis MO 63136-6119. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cerny, Roger G. can be contacted via phone (314) 923-4640.

Contact Information

Primary practice address
11133 Dunn Road St Louis MO 63136-6119
Phone: (314) 923-4640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 065267 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209000686 Illinois

Profile Details

NPI number 1215916432
LBN Legal business name Cerny, Roger G.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Sep 24th, 2008 - about 16 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 1215916432 NPPES
Missouri MEDICAID 918913807
Missouri Other P00415481

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