Codd, John
Codd, John is an individual health care provider with primary practice located at 126 Southarm Dr , Saint Louis MO 63122-4658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Codd, John can be contacted via phone (314) 822-1938.Contact Information
Primary practice address
126 Southarm Dr
Saint Louis MO 63122-4658
Phone: (314) 822-1938
Fax: (314) 698-2838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036052808 | Illinois |
Profile Details
| NPI number | 1124066550 |
|---|---|
| LBN Legal business name | Codd, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 4th, 2013 - about 11 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 | 1124066550 | NPPES |
| Illinois | Other | 207988 | GROUP MEDICARE |
| Illinois | Other | CG2264 | GROUP MEDICARE |
| Illinois | MEDICAID | 0283463021 | GROUP MEDICARE |
| Illinois | Other | 04132028 | GROUP MEDICARE |
| Illinois | Other | P00299003 | GROUP MEDICARE |
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