Rivera, Victor
Rivera, Victor is an sole proprietor health care provider with primary practice located at 3535 S Jefferson Ave Suite 106, Saint Louis MO 63118-3930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Rivera, Victor can be contacted via phone (314) 771-4600.Contact Information
Primary practice address
3535 S Jefferson Ave Suite 106
Saint Louis MO 63118-3930
Phone: (314) 771-4600
Fax: (314) 771-1701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R8843 | Missouri |
Profile Details
| NPI number | 1073584793 |
|---|---|
| LBN Legal business name | Rivera, Victor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Aug 6th, 2008 - about 17 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 | 1073584793 | NPPES |
| Missouri | MEDICAID | 200997104 |
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