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:
Health care specialties
| Specialty | Code | License # | 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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