Vellinga, John Alan
Vellinga, John Alan is an sole proprietor health care provider with primary practice located at 4800 Mexico Rd Suite 101, Saint Peters MO 63376-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Vellinga, John Alan can be contacted via phone (636) 936-0400.Contact Information
Primary practice address
4800 Mexico Rd Suite 101
Saint Peters MO 63376-1666
Phone: (636) 936-0400
Fax: (636) 936-2252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | R5P16 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | R5P16 | Missouri |
Profile Details
| NPI number | 1679514145 |
|---|---|
| LBN Legal business name | Vellinga, John Alan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | May 9th, 2012 - about 12 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 | 1679514145 | NPPES |
| Missouri | Other | 197791 | BCBS |
| Missouri | Other | 2000224 | BCBS |
| Missouri | Other | 249776 | BCBS |
| Missouri | Other | 072246 | BCBS |
| Missouri | Other | 197791 | BCBS |
| Missouri | MEDICAID | 246938112 | BCBS |
| Missouri | Other | 35554 | BCBS |
| Missouri | Other | 35554 | BCBS |
| Missouri | Other | 050055140 | BCBS |
| Missouri | Other | A003431711815 | BCBS |
| Missouri | Other | F04439 | BCBS |
| Missouri | Other | 431711815 | BCBS |
| Missouri | Other | 491711815 | BCBS |
| Missouri | Other | 63868010001 | BCBS |
| Missouri | Other | 2000224 | BCBS |
| Missouri | Other | 431711815 | BCBS |
| Missouri | Other | 5339096 | BCBS |
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