Kincaid, Rosa A
Kincaid, Rosa A is an sole proprietor health care provider with primary practice located at 3016 Locust St Suite 104, Saint Louis MO 63103-1372. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kincaid, Rosa A can be contacted via phone (314) 531-0008.Contact Information
Primary practice address
3016 Locust St Suite 104
Saint Louis MO 63103-1372
Phone: (314) 531-0008
Fax: (314) 531-0145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MOR9N99 | Missouri |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MOR9N99 | Missouri |
Profile Details
| NPI number | 1932109402 |
|---|---|
| LBN Legal business name | Kincaid, Rosa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Jan 10th, 2022 - about 2 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 | 1932109402 | NPPES |
| Other | 217061 | GHP | |
| Other | 0100669 | GHP |
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