White, Stephanie M
White, Stephanie M is an individual health care provider with primary practice located at 1027 Bellevue Ave Ste 200 , Saint Louis MO 63117-1851. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. White, Stephanie M can be contacted via phone (314) 645-6450.Contact Information
Primary practice address
1027 Bellevue Ave Ste 200
Saint Louis MO 63117-1851
Phone: (314) 645-6450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2007019158 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2013012540 | Missouri |
Profile Details
| NPI number | 1588863906 |
|---|---|
| LBN Legal business name | White, Stephanie M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Nov 17th, 2020 - about 6 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 | 1588863906 | NPPES |
| Missouri | Other | 2013012540 | MISSOURI MEDICAL LICENSE |
| Missouri | MEDICAID | 1588863906 | MISSOURI MEDICAL LICENSE |
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