Durer, Frederick Berthold
Durer, Frederick Berthold is an individual health care provider with primary practice located at 3009 N Ballas Rd Ste 360C , Saint Louis MO 63131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Durer, Frederick Berthold can be contacted via phone (314) 996-7220.Contact Information
Primary practice address
3009 N Ballas Rd Ste 360C
Saint Louis MO 63131
Phone: (314) 996-7220
Fax: (314) 996-7225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 103603 | Missouri |
Profile Details
| NPI number | 1982601027 |
|---|---|
| LBN Legal business name | Durer, Frederick Berthold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Mar 12th, 2021 - about 3 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 | 1982601027 | NPPES |
| Missouri | MEDICAID | 208863100 |
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