Elmendorf, Gina Marie
Elmendorf, Gina Marie is an individual health care provider with primary practice located at 2120 Bryan Valley Commercial Dr , O Fallon MO 63366-3495. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Elmendorf, Gina Marie can be contacted via phone (636) 240-8096.Contact Information
Primary practice address
2120 Bryan Valley Commercial Dr
O Fallon MO 63366-3495
Phone: (636) 240-8096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2012028513 | Missouri |
Profile Details
| NPI number | 1588008353 |
|---|---|
| LBN Legal business name | Elmendorf, Gina Marie |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2013 |
| Last updated | Apr 24th, 2013 - about 11 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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