Rodin, Miriam B

Rodin, Miriam B is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Rodin, Miriam B can be contacted via phone (314) 977-8462.

Contact Information

Primary practice address
1201 S Grand Blvd Saint Louis MO 63104-1016
Phone: (314) 977-8462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 2007030792 Missouri
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036076819 Illinois

Profile Details

NPI number 1154484673
LBN Legal business name Rodin, Miriam B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 12th, 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 1154484673 NPPES
Illinois MEDICAID 036076819

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