Distler, Madeline Jane
Distler, Madeline Jane is an individual health care provider with primary practice located at 4590 Childrens Pl Stop 90-29916 , Saint Louis MO 63110-1020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Distler, Madeline Jane can be contacted via phone (314) 273-3194.Contact Information
Primary practice address
4590 Childrens Pl Stop 90-29916
Saint Louis MO 63110-1020
Phone: (314) 273-3194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 2020012267 | Missouri |
Profile Details
| NPI number | 1053911297 |
|---|---|
| LBN Legal business name | Distler, Madeline Jane |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2020 |
| Last updated | Oct 27th, 2020 - about 5 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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