Baldridge, Dustin Matthew

Baldridge, Dustin Matthew is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Hospitalist Med, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Baldridge, Dustin Matthew can be contacted via phone (314) 454-2076.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Hospitalist Med Saint Louis MO 63110-1002
Phone: (314) 454-2076
Fax: (314) 747-8953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2014022254 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2014022254 Missouri

Profile Details

NPI number 1255628616
LBN Legal business name Baldridge, Dustin Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Apr 25th, 2024 - about 2 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 1255628616 NPPES
Missouri MEDICAID 200018609

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