Coberly, Emily A
Coberly, Emily A is an individual health care provider with primary practice located at 4050 Lindell Blvd , Saint Louis MO 63108-3297. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine is her primary health care specialty. Coberly, Emily A can be contacted via phone (314) 396-9363.Contact Information
Primary practice address
4050 Lindell Blvd
Saint Louis MO 63108-3297
Phone: (314) 396-9363
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2006010965 | Missouri |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2006010965 | Missouri |
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 2006010965 | Missouri |
Profile Details
NPI number | 1154423200 |
---|---|
LBN Legal business name | Coberly, Emily A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2006 |
Last updated | Jan 28th, 2020 - about 4 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 | 1154423200 | NPPES |
Missouri | MEDICAID | 204022305 | |
Missouri | Other | 211431 | |
Missouri | Other | 758219 |
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