Bader, Eric J. W.

Bader, Eric J. W. is an individual health care provider with primary practice located at 10 Hospital Dr , St Peters MO 63376-1659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bader, Eric J. W. can be contacted via phone (314) 895-3828.

Contact Information

Primary practice address
10 Hospital Dr St Peters MO 63376-1659
Fax: (314) 895-3827
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 105825 Missouri

Profile Details

NPI number 1679560759
LBN Legal business name Bader, Eric J. W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 26th, 2010 - about 16 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 1679560759 NPPES
Missouri MEDICAID 247740400
Missouri Other 050030948

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