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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1518963859 NPPES
Missouri Other 1518963859 NPI
Missouri MEDICAID 205054802 NPI

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