Odegard, Dean Thomas
Odegard, Dean Thomas is an individual health care provider with primary practice located at 3844 S Lindbergh Blvd Ste 216, Saint Louis MO 63127-1416. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Odegard, Dean Thomas can be contacted via phone (314) 525-0580.Contact Information
Primary practice address
3844 S Lindbergh Blvd Ste 216
Saint Louis MO 63127-1416
Phone: (314) 525-0580
Fax: (314) 525-0581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 2022013206 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2022013206 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2022013206 | Missouri |
Profile Details
| NPI number | 1518527043 |
|---|---|
| LBN Legal business name | Odegard, Dean Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2019 |
| Last updated | Apr 25th, 2024 - about 5 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 | 1518527043 | NPPES |
| Missouri | MEDICAID | 200071859 |
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