Sheen, Vidal T
Sheen, Vidal T is an individual health care provider with primary practice located at 11144 Tesson Ferry Rd Suite 100, Saint Louis MO 63123-6965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sheen, Vidal T can be contacted via phone (314) 842-1441.Contact Information
Primary practice address
11144 Tesson Ferry Rd Suite 100
Saint Louis MO 63123-6965
Phone: (314) 842-1441
Fax: (314) 842-1402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 108604 | Missouri |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 108604 | Missouri |
Profile Details
| NPI number | 1083687859 |
|---|---|
| LBN Legal business name | Sheen, Vidal T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Aug 7th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083687859 | NPPES |
| Missouri | Other | 2665001 | MEDICARE PTAN |
| Missouri | MEDICAID | 203819214 | MEDICARE PTAN |
| Missouri | Other | P00695170 | MEDICARE PTAN |
| Missouri | Other | DT0542 | MEDICARE PTAN |
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