Lederman, Eric D

Lederman, Eric D is an individual health care provider with primary practice located at 555 N. New Ballas Suite 265, Saint Louis MO 63141-2330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Lederman, Eric D can be contacted via phone (314) 991-4644.

Contact Information

Primary practice address
555 N. New Ballas Suite 265 Saint Louis MO 63141-2330
Phone: (314) 991-4644
Fax: (314) 991-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 114589 Missouri

Profile Details

NPI number 1255368973
LBN Legal business name Lederman, Eric D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jun 30th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255368973 NPPES
Missouri MEDICAID 507396109

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