Brady, Timothy Tobin
Brady, Timothy Tobin is an individual health care provider with primary practice located at 10012 Kennerly Rd Ste 101, St Louis MO 63128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brady, Timothy Tobin can be contacted via phone (314) 543-5200.Contact Information
Primary practice address
10012 Kennerly Rd Ste 101
St Louis MO 63128
Phone: (314) 543-5200
Fax: (314) 543-5219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | R9C27 | Missouri |
Profile Details
| NPI number | 1518056258 |
|---|---|
| LBN Legal business name | Brady, Timothy Tobin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 16th, 2013 - about 13 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 | 1518056258 | NPPES |
| Missouri | MEDICAID | 202249520 |
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