Edelstein, Sean Lewis

Edelstein, Sean Lewis is an individual health care provider with primary practice located at 1225 S Grand Blvd , Saint Louis MO 63104-1016. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Edelstein, Sean Lewis can be contacted via phone (314) 977-5200.

Contact Information

Primary practice address
1225 S Grand Blvd Saint Louis MO 63104-1016
Phone: (314) 977-5200
Fax: (314) 977-9910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2005019369 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005019369 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2005019369 Missouri

Profile Details

NPI number 1679520605
LBN Legal business name Edelstein, Sean Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 19th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679520605 NPPES
Missouri MEDICAID 1679520605
Missouri MEDICAID 200839009

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