Swatske, Mary Ellen

Swatske, Mary Ellen is an individual health care provider with primary practice located at 510 S Kingshighway Blvd , Saint Louis MO 63110-1016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Swatske, Mary Ellen can be contacted via phone (314) 362-7200.

Contact Information

Primary practice address
510 S Kingshighway Blvd Saint Louis MO 63110-1016
Fax: (314) 747-4189
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 059839 Missouri

Profile Details

NPI number 1679769459
LBN Legal business name Swatske, Mary Ellen
Credentials AHCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2007
Last updated Jan 29th, 2018 - 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 1679769459 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 1679769459

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