Gerlach, William

Gerlach, William is an sole proprietor health care provider with primary practice located at 16 Hampton Village Plz Suite 274, Saint Louis MO 63109-2128. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gerlach, William can be contacted via phone (314) 352-5436.

Contact Information

Primary practice address
16 Hampton Village Plz Suite 274 Saint Louis MO 63109-2128
Phone: (314) 352-5436
Fax: (314) 352-0749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000454 Missouri

Profile Details

NPI number 1760464267
LBN Legal business name Gerlach, William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Oct 20th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760464267 NPPES
Missouri MEDICAID 301521407
Missouri Other P00276729

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