Dorfman, Alla
Dorfman, Alla is an individual health care provider with primary practice located at 5301 Veterans Memorial Pkwy Ste 104, Saint Peters MO 63376-2298. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dorfman, Alla can be contacted via phone (636) 939-3362.Contact Information
Primary practice address
5301 Veterans Memorial Pkwy Ste 104
Saint Peters MO 63376-2298
Phone: (636) 939-3362
Fax: (636) 939-3687
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 102126 | Missouri |
Profile Details
NPI number | 1548234974 |
---|---|
LBN Legal business name | Dorfman, Alla |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2006 |
Last updated | May 9th, 2024 - about 6 months 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 | 1548234974 | NPPES |
Missouri | MEDICAID | 208127704 |
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