Hooper, Destiny Lee

Hooper, Destiny Lee is an individual health care provider with primary practice located at 4921 Parkview Pl Div Neurology Stroke, Ste 6C, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Hooper, Destiny Lee can be contacted via phone (314) 362-7382.

Contact Information

Primary practice address
4921 Parkview Pl Div Neurology Stroke, Ste 6C Saint Louis MO 63110-1032
Phone: (314) 362-7382
Fax: (314) 747-3342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2023014081 Missouri

Profile Details

NPI number 1487188645
LBN Legal business name Hooper, Destiny Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2017
Last updated Apr 25th, 2024 - about last year

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 1487188645 NPPES
Missouri MEDICAID 200123583

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