Hernandez-Zipfel, Maryjo

Hernandez-Zipfel, Maryjo is an individual health care provider with primary practice located at 4055 Lindell Blvd , Saint Louis MO 63108-3201. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Hernandez-Zipfel, Maryjo can be contacted via phone (314) 535-7701.

Contact Information

Primary practice address
4055 Lindell Blvd Saint Louis MO 63108-3201
Phone: (314) 535-7701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2004009985 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2004009985 Missouri
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 2004009985 Missouri

Profile Details

NPI number 1023036746
LBN Legal business name Hernandez-Zipfel, Maryjo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 15th, 2019 - about 6 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 1023036746 NPPES
Other 190299 MO-BLUE SHIELD
MEDICAID 206177305 MO-BLUE SHIELD

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