Van Amburg, Albert L

Van Amburg, Albert L is an individual health care provider with primary practice located at 232 S Woods Mill Rd Suite 330 East, Chesterfield MO 63017-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Van Amburg, Albert L can be contacted via phone (314) 205-6737.

Contact Information

Primary practice address
232 S Woods Mill Rd Suite 330 East Chesterfield MO 63017-3417
Phone: (314) 205-6737
Fax: (314) 576-2378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X R5296 Missouri

Profile Details

NPI number 1306804489
LBN Legal business name Van Amburg, Albert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 25th, 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 1306804489 NPPES
Missouri MEDICAID 201245461
Missouri Other 241963
Missouri Other 0280272087
Missouri Other 14488
Missouri Other 4061290
Missouri Other 44637
Missouri Other 182403

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