Korn, Elliot Lawrence
Korn, Elliot Lawrence is an sole proprietor health care provider with primary practice located at 1715 Deer Tracks Trl Ste 130 , Saint Louis MO 63131-1854. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Korn, Elliot Lawrence can be contacted via phone (314) 567-1856.Contact Information
Primary practice address
1715 Deer Tracks Trl Ste 130
Saint Louis MO 63131-1854
Phone: (314) 567-1856
Fax: (314) 527-2425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | R6E34 | Missouri |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R6E34 | Missouri |
Profile Details
| NPI number | 1649267253 |
|---|---|
| LBN Legal business name | Korn, Elliot Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Mar 14th, 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 | 1649267253 | NPPES |
| Missouri | MEDICAID | 202318507 | |
| Missouri | Other | R51061708 |
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