Beckman, Robert Fred
Beckman, Robert Fred is an sole proprietor health care provider with primary practice located at 10012 Kennerly Rd Suite 406, Saint Louis MO 63128-2197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beckman, Robert Fred can be contacted via phone (314) 525-1224.Contact Information
Primary practice address
10012 Kennerly Rd Suite 406
Saint Louis MO 63128-2197
Phone: (314) 525-1224
Fax: (314) 525-4957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R5157 | Missouri |
Profile Details
| NPI number | 1083614622 |
|---|---|
| LBN Legal business name | Beckman, Robert Fred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 14th, 2017 - about 9 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 | 1083614622 | NPPES |
| Missouri | Other | 156440047 | MEDICARE PTAN # |
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