Roane-Blaker, Catherine Elizabeth

Roane-Blaker, Catherine Elizabeth is an individual health care provider with primary practice located at 11125 Dunn Rd Ste 406 , Saint Louis MO 63136. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Roane-Blaker, Catherine Elizabeth can be contacted via phone (314) 653-5484.

Contact Information

Primary practice address
11125 Dunn Rd Ste 406 Saint Louis MO 63136
Phone: (314) 653-5484
Fax: (314) 653-5483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 2018010680 Missouri
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X G5543 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2018010680 Missouri

Profile Details

NPI number 1578613915
LBN Legal business name Roane-Blaker, Catherine Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Mar 12th, 2021 - about 5 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 1578613915 NPPES
Texas MEDICAID 124746205

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