Khariton, Boris
Khariton, Boris is an individual health care provider with primary practice located at 70 Jungermann Cir Ste 302 , Saint Peters MO 63376-1637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Khariton, Boris can be contacted via phone (314) 667-5535.Contact Information
Primary practice address
70 Jungermann Cir Ste 302
Saint Peters MO 63376-1637
Phone: (314) 667-5535
Fax: (314) 261-5010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 110866 | Missouri |
Profile Details
| NPI number | 1205896495 |
|---|---|
| LBN Legal business name | Khariton, Boris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 8th, 2024 - about 10 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 | 1205896495 | NPPES |
| Missouri | Other | 203718 | MEDICARE OF ILLINOIS |
| Missouri | MEDICAID | 204975718 | MEDICARE OF ILLINOIS |
| Missouri | Other | 250013155 | MEDICARE OF ILLINOIS |
| Missouri | Other | 250013745 | MEDICARE OF ILLINOIS |
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