Williams, Dominique St Croix
Williams, Dominique St Croix is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Cardiology, Ste 8A, Saint Louis MO 63110-1032. 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. Williams, Dominique St Croix can be contacted via phone (314) 362-1291.Contact Information
Primary practice address
4921 Parkview Pl Div Im Cardiology, Ste 8A
Saint Louis MO 63110-1032
Phone: (314) 362-1291
Fax: (314) 362-4278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015013380 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2015013380 | Missouri |
Profile Details
| NPI number | 1194089334 |
|---|---|
| LBN Legal business name | Williams, Dominique St Croix |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2012 |
| Last updated | Nov 16th, 2021 - about 5 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 | 1194089334 | NPPES |
| Missouri | MEDICAID | 200021788 |
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