Vickar Tilzer & Associates

LBN: Garry Vickar & Associates
Vickar Tilzer & Associates is an health care organization with primary practice located at 11125 Dunn Rd 213, St Louis MO 63136. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Garry Vickar & Associates can be contacted via phone (314) 837-4900, or through Harris, Rita W via phone (314) 837-4900.

Contact Information

Primary practice address
11125 Dunn Rd 213 St Louis MO 63136
Phone: (314) 837-4900
Fax: (314) 837-5646
Website:
Map and Directions
Authorized official contact:
Name: Harris, Rita W
Phone: (314) 837-4900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 180000336 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003196 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R5051 Missouri

Profile Details

NPI number 1780716696
LBN Legal business name Garry Vickar & Associates
DBA Doing business as Vickar Tilzer & Associates
Authorized official Harris, Rita W
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780716696 NPPES
Missouri MEDICAID 502992407

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