Phruttitum, Serin
Phruttitum, Serin is an individual health care provider with primary practice located at 12680 Olive Blvd Suite 300, Creve Coeur MO 63141-6322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phruttitum, Serin can be contacted via phone (314) 251-8888.Contact Information
Primary practice address
12680 Olive Blvd Suite 300
Creve Coeur MO 63141-6322
Phone: (314) 251-8888
Fax: (314) 251-8889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301070810 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 108455 | Missouri |
Profile Details
| NPI number | 1831172451 |
|---|---|
| LBN Legal business name | Phruttitum, Serin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Nov 12th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831172451 | NPPES |
| Missouri | Other | 1399189 | AETNA PPO |
| Missouri | Other | 283073 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 750900066 | AETNA PPO |
| Missouri | Other | 0108537 | AETNA PPO |
| Missouri | Other | 1399189 | AETNA PPO |
| Missouri | Other | 2067362 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | P00623861 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 209864 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 65230 | AETNA PPO |
| Missouri | Other | 755719 | AETNA PPO |
| Missouri | Other | 2067362 | AETNA PPO |
| Missouri | MEDICAID | 208486118 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
| Missouri | Other | 700632 | AETNA PPO |
| Missouri | Other | 7797806 | AETNA PPO |
| Missouri | Other | H10214 | AETNA PPO |
| Missouri | Other | 431771217 | AETNA PPO |
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