Fivian, Gerald Joseph

Fivian, Gerald Joseph is an individual health care provider with primary practice located at 12990 Manchester Rd Suite 202, St Louis MO 63131-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fivian, Gerald Joseph can be contacted via phone (314) 432-6137.

Contact Information

Primary practice address
12990 Manchester Rd Suite 202 St Louis MO 63131-1804
Phone: (314) 432-6137
Fax: (314) 432-1237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29554 Missouri

Profile Details

NPI number 1700822731
LBN Legal business name Fivian, Gerald Joseph
Credentials MD, FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Sep 23rd, 2010 - about 14 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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