Ravin, Amy Jo
Ravin, Amy Jo is an individual health care provider with primary practice located at 1031 Bellevue Ave Ste 400 , Saint Louis MO 63117-1858. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ravin, Amy Jo can be contacted via phone (314) 977-7455.Contact Information
Primary practice address
1031 Bellevue Ave Ste 400
Saint Louis MO 63117-1858
Phone: (314) 977-7455
Fax: (314) 977-7343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2000157500 | Missouri |
Profile Details
| NPI number | 1518963859 |
|---|---|
| LBN Legal business name | Ravin, Amy Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jan 13th, 2021 - about 4 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 | 1518963859 | NPPES |
| Missouri | Other | 1518963859 | NPI |
| Missouri | MEDICAID | 205054802 | NPI |
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