Myckatyn, Terence Michael

Myckatyn, Terence Michael is an individual health care provider with primary practice located at 1020 N Mason Rd Div Surg Plastics, Mob 3 Ste 110, Saint Louis MO 63141-6666. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Myckatyn, Terence Michael can be contacted via phone (314) 362-7388.

Contact Information

Primary practice address
1020 N Mason Rd Div Surg Plastics, Mob 3 Ste 110 Saint Louis MO 63141-6666
Phone: (314) 362-7388
Fax: (833) 301-0853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 2000173749 Missouri
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 2000173749 Missouri
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2000173749 Missouri

Profile Details

NPI number 1598781718
LBN Legal business name Myckatyn, Terence Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598781718 NPPES
Missouri MEDICAID 207820606

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