Montenegro, Grace A

Montenegro, Grace A is an sole proprietor health care provider with primary practice located at 1008 S Spring Ave , Saint Louis MO 63110-2520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Montenegro, Grace A can be contacted via phone (314) 977-3530.

Contact Information

Primary practice address
1008 S Spring Ave Saint Louis MO 63110-2520
Phone: (314) 977-3530
Fax: (314) 977-1630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 2013017017 Missouri

Profile Details

NPI number 1497948087
LBN Legal business name Montenegro, Grace A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2007
Last updated Feb 17th, 2021 - about 4 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.

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