Whiteside, Karen L
Whiteside, Karen L is an individual health care provider with primary practice located at 6526 Lansdowne Ave , Saint Louis MO 63109-2654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Whiteside, Karen L can be contacted via phone (314) 353-8777.Contact Information
Primary practice address
6526 Lansdowne Ave
Saint Louis MO 63109-2654
Phone: (314) 353-8777
Fax: (314) 353-8772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2002002173 | Missouri |
Profile Details
| NPI number | 1417928078 |
|---|---|
| LBN Legal business name | Whiteside, Karen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | May 9th, 2024 - about 4 months 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 | 1417928078 | NPPES |
| Missouri | MEDICAID | 200057548 |
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