Bantrup, Gregg
Bantrup, Gregg is an sole proprietor health care provider with primary practice located at 300 1St Capitol Dr , Saint Charles MO 63301-2844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bantrup, Gregg can be contacted via phone (314) 989-3000.Contact Information
Primary practice address
300 1St Capitol Dr
Saint Charles MO 63301-2844
Phone: (314) 989-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 108695 | Missouri |
Profile Details
| NPI number | 1215986435 |
|---|---|
| LBN Legal business name | Bantrup, Gregg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | May 2nd, 2013 - about 12 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 | 1215986435 | NPPES |
| Missouri | Other | P00139813 | RR MEDICARE |
| Missouri | MEDICAID | 208042010 | RR MEDICARE |
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