Parks, Becky Jo

Parks, Becky Jo is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 6C, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Parks, Becky Jo can be contacted via phone (314) 362-3293.

Contact Information

Primary practice address
4921 Parkview Pl Ste 6C Saint Louis MO 63110-1032
Phone: (314) 362-3293
Fax: (314) 747-1345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 103155 Missouri

Profile Details

NPI number 1356369813
LBN Legal business name Parks, Becky Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 14th, 2016 - about 9 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 1356369813 NPPES
Missouri MEDICAID 206653719

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