Divalerio, Richard M
Divalerio, Richard M is an individual health care provider with primary practice located at 3009 N Ballas Rd Suite 100B, Saint Louis MO 63131-2322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Divalerio, Richard M can be contacted via phone (314) 432-1111.Contact Information
Primary practice address
3009 N Ballas Rd Suite 100B
Saint Louis MO 63131-2322
Phone: (314) 432-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | R7J89 | Missouri |
Profile Details
| NPI number | 1841298072 |
|---|---|
| LBN Legal business name | Divalerio, Richard M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 8th, 2014 - about 10 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 | 1841298072 | NPPES |
| Missouri | Other | 27044 | AETNA |
| Missouri | Other | 288523 | AETNA |
| Missouri | Other | 5178116 | AETNA |
| Missouri | Other | 660001262 | AETNA |
| Missouri | Other | 2541 | AETNA |
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