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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1841251303 NPPES
Missouri MEDICAID 200055298

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