Ross, Ian Robert

Ross, Ian Robert is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ross, Ian Robert can be contacted via phone (314) 652-4100.

Contact Information

Primary practice address
915 N Grand Blvd Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2015012494 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2015012494 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD464154 Pennsylvania

Profile Details

NPI number 1659710580
LBN Legal business name Ross, Ian Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Sep 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659710580 NPPES
Illinois MEDICAID ENROLLED

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