Salem, Mouner

Salem, Mouner is an individual health care provider with primary practice located at 12303 De Paul Dr , Bridgeton MO 63044-2512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Salem, Mouner can be contacted via phone (314) 317-0600.

Contact Information

Primary practice address
12303 De Paul Dr Bridgeton MO 63044-2512
Fax: (314) 317-0606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002002642 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2002002642 Missouri

Profile Details

NPI number 1124091145
LBN Legal business name Salem, Mouner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jun 19th, 2014 - about 10 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 1124091145 NPPES
Illinois MEDICAID 1124091145
Illinois MEDICAID 205753205

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