Irvin, William M
Irvin, William M is an sole proprietor health care provider with primary practice located at 11477 Olde Cabin Rd Ste 210 , Saint Louis MO 63141-7129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Irvin, William M can be contacted via phone (314) 997-5208.Contact Information
Primary practice address
11477 Olde Cabin Rd Ste 210
Saint Louis MO 63141-7129
Phone: (314) 997-5208
Fax: (314) 997-5368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 2001010868 | Missouri |
Profile Details
| NPI number | 1942392931 |
|---|---|
| LBN Legal business name | Irvin, William M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Dec 17th, 2012 - about 13 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 | 1942392931 | NPPES |
| Missouri | MEDICAID | 205866304 | |
| Missouri | Other | 484342 | |
| Missouri | Other | 158049 | |
| Missouri | Other | 1530953 | |
| Missouri | Other | P00049380 |
Popular Providers
-
Viamontes, Claudia T.
522 N. New Ballas Suite 332, St. Louis MO 63141 -
Sheheryar, Quratulanne
1438 S Grand Blvd , Saint Louis MO 63104-1027 -
Baram, Vadim Yuri
10420 Old Olive Street Rd Ste 205, Saint Louis MO 63141-5914 -
Naveen, Lakshmi
3015 N Ballas Rd , Saint Louis MO 63131-2329 -
Loiterstein, Daniel
1 Jefferson Barracks Dr , Saint Louis MO 63125-4181 -
Gurusiddaiya, Pratibha Nagenhalli
1 Jefferson Barracks Dr , Saint Louis MO 63125-4181 -
Naeem, Muhammad Atthar
1 Jefferson Barracks Dr Stl-Mhs-Mental Health Svc (116A Jb), Saint Louis MO 63125-4181 -
Arain, Sameer Yameen
5000 Cedar Plaza Pkwy Suite 350, Saint Louis MO 63128-3854