Ettelson, Charles David

Ettelson, Charles David is an sole proprietor health care provider with primary practice located at 730 Audubon Dr , Saint Louis MO 63105-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Ettelson, Charles David can be contacted via phone (314) 324-7605.

Contact Information

Primary practice address
730 Audubon Dr Saint Louis MO 63105-2906
Phone: (314) 324-7605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X R9446 Missouri

Profile Details

NPI number 1255332904
LBN Legal business name Ettelson, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Jul 2nd, 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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