Professional Care Providers, Llc

LBN: Professional Care Providers, Llc
Professional Care Providers, Llc is an health care organization with primary practice located at 723 1St Capitol Dr , Saint Charles MO 63301-2729. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty. Professional Care Providers, Llc can be contacted via phone (636) 577-1357, or through Bartlett, Ray via phone (636) 577-1357.

Contact Information

Primary practice address
723 1St Capitol Dr Saint Charles MO 63301-2729
Phone: (636) 577-1357
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bartlett, Ray Physician Assistant (PA)
Phone: (636) 577-1357

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33327 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 104933 Missouri

Profile Details

NPI number 1821001918
LBN Legal business name Professional Care Providers, Llc
DBA Doing business as
Authorized official Bartlett, Ray Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Apr 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821001918 NPPES
Missouri Other DE8055 RAILROAD MEDICARE

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