Melrich Inc

LBN: Melrich Inc
Melrich Inc is an health care organization with primary practice located at 625 Cannonbury Dr , Saint Louis MO 63119-5312. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Melrich Inc can be contacted via phone (314) 395-3656, or through Stork, Richard James via phone 31439536356.

Contact Information

Primary practice address
625 Cannonbury Dr Saint Louis MO 63119-5312
Phone: (314) 395-3656
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stork, Richard James Doctor of Medicine (MD)
Phone: 31439536356

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2008006962 Missouri

Profile Details

NPI number 1457655748
LBN Legal business name Melrich Inc
DBA Doing business as
Authorized official Stork, Richard James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2010
Last updated Dec 31st, 2010 - about 14 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 1457655748 NPPES
Tennessee MEDICAID 3893809
Tennessee MEDICAID 009976335
Tennessee MEDICAID 207032707
Tennessee MEDICAID 000834666M

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