Boonslick Medical Group Inc

LBN: Boonslick Medical Group Inc
Boonslick Medical Group Inc is an health care organization with primary practice located at 201 Bjc Saint Peters Dr Suite 100, Saint Peters MO 63376-3091. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Boonslick Medical Group Inc can be contacted via phone (636) 916-8228, or through Cusworth, Robert B via phone (636) 916-8228.

Contact Information

Primary practice address
201 Bjc Saint Peters Dr Suite 100 Saint Peters MO 63376-3091
Phone: (636) 916-8228
Fax: (636) 946-5774
Website:
Map and Directions
Authorized official contact:
Name: Cusworth, Robert B Doctor of Medicine (MD)
Phone: (636) 916-8228

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 430954457 Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Missouri

Profile Details

NPI number 1588662803
LBN Legal business name Boonslick Medical Group Inc
DBA Doing business as
Authorized official Cusworth, Robert B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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