Cleveland, Jeanne H
Cleveland, Jeanne H is an individual health care provider with primary practice located at 621 S New Ballas Rd 198-A, Saint Louis MO 63141-8232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Cleveland, Jeanne H can be contacted via phone (314) 251-6970.Contact Information
Primary practice address
621 S New Ballas Rd 198-A
Saint Louis MO 63141-8232
Phone: (314) 251-6970
Fax: (314) 215-1053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 2005016189 | Missouri |
Profile Details
| NPI number | 1508837121 |
|---|---|
| LBN Legal business name | Cleveland, Jeanne H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | May 12th, 2011 - about 14 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 | 1508837121 | NPPES |
| Missouri | MEDICAID | 207503509 |
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