Fathman, Anthony E

Fathman, Anthony E is an individual health care provider with primary practice located at 224 S Woods Mill Rd Ste 510S, Chesterfield MO 63017-3451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fathman, Anthony E can be contacted via phone (314) 434-3433.

Contact Information

Primary practice address
224 S Woods Mill Rd Ste 510S Chesterfield MO 63017-3451
Fax: (314) 434-6813
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 29632 Missouri

Profile Details

NPI number 1194834887
LBN Legal business name Fathman, Anthony E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 28th, 2008 - about 16 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 1194834887 NPPES
Missouri MEDICAID 200030807

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