Fournier, Mary Elizabeth
Fournier, Mary Elizabeth is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped, Adolescent Medicine, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Fournier, Mary Elizabeth can be contacted via phone (314) 454-2468.Contact Information
Primary practice address
1 Childrens Pl Div Ped, Adolescent Medicine
Saint Louis MO 63110-1002
Phone: (314) 454-2468
Fax: (314) 454-2524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2018013808 | Missouri |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 2018013808 | Missouri |
Profile Details
| NPI number | 1841251303 |
|---|---|
| LBN Legal business name | Fournier, Mary Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Apr 25th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841251303 | NPPES |
| Missouri | MEDICAID | 200055298 |
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