Oldham, John

Oldham, John is an individual health care provider with primary practice located at 11133 Dunn Rd Rm H2241, Saint Louis MO 63136-6119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Oldham, John can be contacted via phone (314) 653-5663.

Contact Information

Primary practice address
11133 Dunn Rd Rm H2241 Saint Louis MO 63136-6119
Phone: (314) 653-5663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R9476 Missouri

Profile Details

NPI number 1659376390
LBN Legal business name Oldham, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2005
Last updated Oct 6th, 2011 - about 13 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 1659376390 NPPES
Missouri MEDICAID 201103728
Missouri MEDICAID 1659376390

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