Han, Enoch David
Han, Enoch David is an individual health care provider with primary practice located at 1225 S Grand Blvd # 2L , Saint Louis MO 63104-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Han, Enoch David can be contacted via phone (314) 977-4440.Contact Information
Primary practice address
1225 S Grand Blvd # 2L
Saint Louis MO 63104-1016
Phone: (314) 977-4440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD0688602L | Pennsylvania |
Profile Details
| NPI number | 1730146606 |
|---|---|
| LBN Legal business name | Han, Enoch David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730146606 | NPPES |
| Pennsylvania | MEDICAID | 0017572020004 |
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