Martin, Dellice
Martin, Dellice is an individual health care provider with primary practice located at 300 1St Capitol Dr , Saint Charles MO 63301-2844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Martin, Dellice can be contacted via phone (636) 947-5162.Contact Information
Primary practice address
300 1St Capitol Dr
Saint Charles MO 63301-2844
Phone: (636) 947-5162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 101041 | Missouri |
Profile Details
| NPI number | 1407829203 |
|---|---|
| LBN Legal business name | Martin, Dellice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | May 24th, 2021 - about 3 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 | 1407829203 | NPPES |
| Missouri | MEDICAID | 208951426 |
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