Mcdonnell, Peter Joseph

Mcdonnell, Peter Joseph is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Im General Med, Ste 241, Saint Louis MO 63108-1495. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mcdonnell, Peter Joseph can be contacted via phone (314) 362-5060.

Contact Information

Primary practice address
4901 Forest Park Ave Div Im General Med, Ste 241 Saint Louis MO 63108-1495
Phone: (314) 362-5060
Fax: (314) 362-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2019009685 Missouri

Profile Details

NPI number 1417317249
LBN Legal business name Mcdonnell, Peter Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2016
Last updated Apr 25th, 2024 - about last year

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 1417317249 NPPES
Missouri MEDICAID 200063055

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