Good, Misty L

Good, Misty L is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Newborn 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 / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Good, Misty L can be contacted via phone (314) 454-2683.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Newborn Medicine Saint Louis MO 63110-1002
Phone: (314) 454-2683
Fax: (314) 454-4633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016029308 Missouri
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2016029308 Missouri

Profile Details

NPI number 1760683601
LBN Legal business name Good, Misty L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Feb 2nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760683601 NPPES
Missouri MEDICAID 200036317

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