M. Edward Mimlitz Pc

LBN: M. Edward Mimlitz Pc
M. Edward Mimlitz Pc is an health care organization with primary practice located at 621 S. New Ballas Rd. Suite 419-A, St. Louis MO 63141-8259. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. M. Edward Mimlitz Pc can be contacted via phone (314) 432-8505, or through Mimlitz, Michael E. via phone (314) 432-8505.

Contact Information

Primary practice address
621 S. New Ballas Rd. Suite 419-A St. Louis MO 63141-8259
Phone: (314) 432-8505
Fax: (314) 432-6853
Website:
Map and Directions
Authorized official contact:
Name: Mimlitz, Michael E. Doctor of Medicine (MD)
Phone: (314) 432-8505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 101836 Missouri

Profile Details

NPI number 1952715005
LBN Legal business name M. Edward Mimlitz Pc
DBA Doing business as
Authorized official Mimlitz, Michael E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2014
Last updated Jul 2nd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952715005 NPPES
Missouri MEDICAID 208179317
Missouri Other 0700441

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