Loman, Deborah G
Loman, Deborah G is an individual health care provider with primary practice located at 5471 Dr Martin Luther King Dr , Saint Louis MO 63112-4265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Loman, Deborah G can be contacted via phone (314) 367-5820.Contact Information
Primary practice address
5471 Dr Martin Luther King Dr
Saint Louis MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-6326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 059430 | Missouri |
Profile Details
NPI number | 1720089246 |
---|---|
LBN Legal business name | Loman, Deborah G |
Credentials | CPNP PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2005 |
Last updated | Oct 6th, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720089246 | NPPES |
Missouri | MEDICAID | 428157707 |
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