Neidich, Julie Ann
Neidich, Julie Ann is an individual health care provider with primary practice located at 4320 Forest Park Ave Div Pa Lab And Genomic Med, Ste 209, Saint Louis MO 63108-2979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, which is considered as her primary health care specialty. Neidich, Julie Ann can be contacted via phone (314) 362-5641.Contact Information
Primary practice address
4320 Forest Park Ave Div Pa Lab And Genomic Med, Ste 209
Saint Louis MO 63108-2979
Phone: (314) 362-5641
Fax: (314) 362-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Molecular Genetic Pathology | 207ZP0007X | 2017022702 | Missouri |
Profile Details
| NPI number | 1962690180 |
|---|---|
| LBN Legal business name | Neidich, Julie Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2007 |
| Last updated | Apr 25th, 2024 - about 8 months 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 | 1962690180 | NPPES |
| Missouri | MEDICAID | 200090687 |
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