Vader, Justin Marinus

Vader, Justin Marinus is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Cardiology, Ste 8B, Saint Louis MO 63110-1032. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Vader, Justin Marinus can be contacted via phone (314) 362-1291.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Cardiology, Ste 8B Saint Louis MO 63110-1032
Phone: (314) 362-1291
Fax: (314) 454-8855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010003279 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2010003279 Missouri
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 2010003279 Missouri

Profile Details

NPI number 1487864138
LBN Legal business name Vader, Justin Marinus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Apr 25th, 2024 - about 8 months 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 1487864138 NPPES
Missouri MEDICAID 200013651

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