Coronel, Isaac
Coronel, Isaac is an sole proprietor health care provider with primary practice located at 1500 Park Ave , Saint Louis MO 63104-3024. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Coronel, Isaac can be contacted via phone (314) 814-8700.Contact Information
Primary practice address
1500 Park Ave
Saint Louis MO 63104-3024
Phone: (314) 814-8700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Public Health | 1223D0001X | 123 | Missouri |
Profile Details
NPI number | 1609550912 |
---|---|
LBN Legal business name | Coronel, Isaac |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2023 |
Last updated | Jun 15th, 2023 - about 2 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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