Benckendorf, Adam Nikolaus

Benckendorf, Adam Nikolaus is an individual health care provider with primary practice located at 1402 S Grand Blvd # M260 , Saint Louis MO 63104-1004. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Benckendorf, Adam Nikolaus can be contacted via phone (314) 577-8933.

Contact Information

Primary practice address
1402 S Grand Blvd # M260 Saint Louis MO 63104-1004
Phone: (314) 577-8933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2024009634 Missouri

Profile Details

NPI number 1801423652
LBN Legal business name Benckendorf, Adam Nikolaus
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2020
Last updated May 30th, 2024 - about last year

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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