Johansen, William Beck

Johansen, William Beck is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Newborn Medicine, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Johansen, William Beck can be contacted via phone (314) 454-2683.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Newborn Medicine Saint Louis MO 63110-1002
Phone: (314) 454-2683
Fax: (314) 454-4633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2020023075 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 2020023075 Missouri

Profile Details

NPI number 1073975132
LBN Legal business name Johansen, William Beck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2016
Last updated Apr 25th, 2024 - about 7 months 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 1073975132 NPPES
Missouri MEDICAID 200087607

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