Plisco, Irwin
Plisco, Irwin is an individual health care provider with primary practice located at 1224 Graham Rd Suite 2003, Florissant MO 63031-8028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Plisco, Irwin can be contacted via phone (314) 839-4554.Contact Information
Primary practice address
1224 Graham Rd Suite 2003
Florissant MO 63031-8028
Phone: (314) 839-4554
Fax: (314) 837-0047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R8E05 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24734 | Iowa |
Profile Details
| NPI number | 1871574525 |
|---|---|
| LBN Legal business name | Plisco, Irwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Dec 8th, 2011 - about 14 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 | 1871574525 | NPPES |
| Missouri | Other | 127484 | GHP |
| Missouri | Other | 0400525 | GHP |
| Missouri | Other | 102101 | GHP |
| Missouri | Other | 4040631 | GHP |
| Missouri | Other | 6400 | GHP |
| Missouri | Other | C04130 | GHP |
| Missouri | Other | 000000010029 | GHP |
| Missouri | Other | 000000012461 | GHP |
| Missouri | Other | 2267138 | GHP |
| Missouri | Other | A10442 | GHP |
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