Specter, Michael A

Specter, Michael A is an individual health care provider with primary practice located at 8515 Delmar Blvd Ste 215 , Saint Louis MO 63124-2168. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Specter, Michael A can be contacted via phone (314) 692-8484.

Contact Information

Primary practice address
8515 Delmar Blvd Ste 215 Saint Louis MO 63124-2168
Phone: (314) 692-8484
Fax: (314) 692-8488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 423 Missouri

Profile Details

NPI number 1629021175
LBN Legal business name Specter, Michael A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 13th, 2012 - about 13 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 1629021175 NPPES
Missouri MEDICAID SP300800422

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