Van Stavern, Renee B

Van Stavern, Renee B is an individual health care provider with primary practice located at 4921 Parkview Pl Div Neurology Stroke, Ste 6C, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Van Stavern, Renee B can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
4921 Parkview Pl Div Neurology Stroke, Ste 6C Saint Louis MO 63110-1032
Phone: (314) 362-1408
Fax: (314) 747-3342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2009006854 Missouri

Profile Details

NPI number 1952348872
LBN Legal business name Van Stavern, Renee B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 25th, 2024 - about last year

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 1952348872 NPPES
Missouri MEDICAID 209246008

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