Guthrie, Revelyn

Guthrie, Revelyn is an individual health care provider with primary practice located at 2165 Kingsford Dr , Florissant MO 63031-2734. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Guthrie, Revelyn can be contacted via phone (314) 283-3394.

Contact Information

Primary practice address
2165 Kingsford Dr Florissant MO 63031-2734
Phone: (314) 283-3394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X Missouri

Profile Details

NPI number 1740887728
LBN Legal business name Guthrie, Revelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2020
Last updated Oct 13th, 2020 - about 4 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 1740887728 NPPES
Missouri MEDICAID 85-3277704

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