Sallis, Milton

Sallis, Milton is an sole proprietor health care provider with primary practice located at 378 Dinsmoor Dr Chesterfield, Chesterfield MO 63017-2956. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sallis, Milton can be contacted via phone (314) 583-9142.

Contact Information

Primary practice address
378 Dinsmoor Dr Chesterfield Chesterfield MO 63017-2956
Phone: (314) 583-9142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-109941 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 020415 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2002020415 Missouri

Profile Details

NPI number 1114912037
LBN Legal business name Sallis, Milton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Nov 20th, 2019 - about 6 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 1114912037 NPPES
Missouri MEDICAID 207673021
Missouri MEDICAID 207673005
Missouri MEDICAID 207673013

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