Heatrice, Alexander

Heatrice, Alexander is an sole proprietor health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Bldg Suite230 , Saint Louis MO 63110-1003. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Heatrice, Alexander can be contacted via phone (314) 361-6006.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Bldg Suite230 Saint Louis MO 63110-1003
Fax: (314) 453-1675
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2020012236 Missouri

Profile Details

NPI number 1790078574
LBN Legal business name Heatrice, Alexander
Credentials DDS, MPH,MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2011
Last updated Oct 17th, 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 1790078574 NPPES
Missouri MEDICAID 400086802

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