Abbott, David A

Abbott, David A is an sole proprietor health care provider with primary practice located at 1035 Bellevue Ave Suite 110, Richmond Heights MO 63117-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abbott, David A can be contacted via phone (314) 647-0180.

Contact Information

Primary practice address
1035 Bellevue Ave Suite 110 Richmond Heights MO 63117-1847
Phone: (314) 647-0180
Fax: (314) 647-1023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MOMDR1G01 Missouri

Profile Details

NPI number 1568448850
LBN Legal business name Abbott, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Feb 1st, 2018 - about 8 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 1568448850 NPPES
Missouri MEDICAID 202584819

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