Godfrey, Stephen E

Godfrey, Stephen E is an individual health care provider with primary practice located at 10010 Kennerly Road , St Louis MO 63128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Godfrey, Stephen E can be contacted via phone (314) 525-4345.

Contact Information

Primary practice address
10010 Kennerly Road St Louis MO 63128
Phone: (314) 525-4345
Fax: (314) 525-4354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R2C59 Missouri

Profile Details

NPI number 1366431595
LBN Legal business name Godfrey, Stephen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 23rd, 2008 - about 16 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 1366431595 NPPES
Missouri MEDICAID 201838810
Missouri Other 220027908

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