Echols, Dedra M
Echols, Dedra M is an individual health care provider with primary practice located at 1 Jefferson Barracks Rd , Saint Louis MO 63125-4181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Echols, Dedra M can be contacted via phone (314) 894-6654.Contact Information
Primary practice address
1 Jefferson Barracks Rd
Saint Louis MO 63125-4181
Phone: (314) 894-6654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 2019036546 | Missouri |
Profile Details
| NPI number | 1952952905 |
|---|---|
| LBN Legal business name | Echols, Dedra M |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2019 |
| Last updated | Sep 20th, 2019 - 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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