Wait, Alyssa Danielle

Wait, Alyssa Danielle is an individual health care provider with primary practice located at 555 N New Ballas Rd Div Surg Colon/Rectal, Ste 265, Saint Louis MO 63141-6825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Wait, Alyssa Danielle can be contacted via phone (314) 991-4644.

Contact Information

Primary practice address
555 N New Ballas Rd Div Surg Colon/Rectal, Ste 265 Saint Louis MO 63141-6825
Phone: (314) 991-4644
Fax: (866) 342-0133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 2017039925 Missouri

Profile Details

NPI number 1659698058
LBN Legal business name Wait, Alyssa Danielle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2010
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 1659698058 NPPES
Missouri MEDICAID 200056907

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