Stickley, Louis P

Stickley, Louis P is an individual health care provider with primary practice located at 625 S New Ballas Rd Ste 2030, Saint Louis MO 63141-8253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stickley, Louis P can be contacted via phone (314) 251-1700.

Contact Information

Primary practice address
625 S New Ballas Rd Ste 2030 Saint Louis MO 63141-8253
Phone: (314) 251-1700
Fax: (314) 251-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30591 Missouri

Profile Details

NPI number 1295738201
LBN Legal business name Stickley, Louis P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 29th, 2014 - about 11 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 1295738201 NPPES
Missouri MEDICAID 20088619

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