Halstead, Mark Edward

Halstead, Mark Edward is an individual health care provider with primary practice located at 14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200, Chesterfield MO 63017-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Halstead, Mark Edward can be contacted via phone (314) 514-3913.

Contact Information

Primary practice address
14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200 Chesterfield MO 63017-5705
Phone: (314) 514-3913
Fax: (314) 514-3534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 2004011774 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2004011774 Missouri

Profile Details

NPI number 1598783227
LBN Legal business name Halstead, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 25th, 2024 - about last year

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 1598783227 NPPES
Missouri MEDICAID 209144609

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