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
Phone: (314) 361-6006
Fax: (314) 453-1675
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790078574 | NPPES |
Missouri | MEDICAID | 400086802 |
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