Stromberg, Brent V
Stromberg, Brent V is an sole proprietor health care provider with primary practice located at 11709 Old Ballas Rd Suite 201, Creve Coeur MO 63141-7029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Stromberg, Brent V can be contacted via phone (314) 997-8828.Contact Information
Primary practice address
11709 Old Ballas Rd Suite 201
Creve Coeur MO 63141-7029
Phone: (314) 997-8828
Fax: (314) 432-5105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | R4B42 | Missouri |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | R4B42 | Missouri |
Profile Details
NPI number | 1467468520 |
---|---|
LBN Legal business name | Stromberg, Brent V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2006 |
Last updated | Jan 22nd, 2009 - about 15 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 | 1467468520 | NPPES |
Missouri | MEDICAID | 203062401 |
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