Joo, Shirley S
Joo, Shirley S is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Joo, Shirley S can be contacted via phone (314) 251-6382.Contact Information
Primary practice address
615 S New Ballas Rd
Saint Louis MO 63141-8221
Phone: (314) 251-6382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 2001009169 | Missouri |
Profile Details
| NPI number | 1144262825 |
|---|---|
| LBN Legal business name | Joo, Shirley S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jun 19th, 2024 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144262825 | NPPES |
| Missouri | MEDICAID | 205801004 |
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