Lobanov, Oleg V

Lobanov, Oleg V is an individual health care provider with primary practice located at 1 Childrens Pl Div Neurology Pediatrics, Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Lobanov, Oleg V can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
1 Childrens Pl Div Neurology Pediatrics Saint Louis MO 63110-1002
Phone: (314) 362-1408
Fax: (314) 454-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 2019009747 Missouri

Profile Details

NPI number 1497195960
LBN Legal business name Lobanov, Oleg V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Apr 25th, 2024 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497195960 NPPES
Missouri MEDICAID 200061302

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