Zerega, Michael J

Zerega, Michael J is an individual health care provider with primary practice located at 200 Brevco Plz Suite 208, Lake St Louis MO 63367-2949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Zerega, Michael J can be contacted via phone (636) 561-9020.

Contact Information

Primary practice address
200 Brevco Plz Suite 208 Lake St Louis MO 63367-2949
Phone: (636) 561-9020
Fax: (636) 561-6208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2000154596 Missouri

Profile Details

NPI number 1073505178
LBN Legal business name Zerega, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Apr 2nd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073505178 NPPES
Missouri MEDICAID 1073505178
Missouri Other P01015409
Missouri Other 18943

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