Henselmeier, Dale M
Henselmeier, Dale M is an individual health care provider with primary practice located at 12255 De Paul Dr Suite 600, Bridgeton MO 63044-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henselmeier, Dale M can be contacted via phone (314) 291-1074.Contact Information
Primary practice address
12255 De Paul Dr Suite 600
Bridgeton MO 63044-2510
Phone: (314) 291-1074
Fax: (314) 290-0802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R8831 | Missouri |
Profile Details
| NPI number | 1699748756 |
|---|---|
| LBN Legal business name | Henselmeier, Dale M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Oct 22nd, 2020 - about 5 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 | 1699748756 | NPPES |
| Missouri | Other | P00075900 | RAILROAD MEDICARE |
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