Brockmann, Mary Ellen
Brockmann, Mary Ellen is an individual health care provider with primary practice located at 522 N New Ballas Rd Suite 392, Creve Coeur MO 63141-6857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Brockmann, Mary Ellen can be contacted via phone (314) 994-0444.Contact Information
Primary practice address
522 N New Ballas Rd Suite 392
Creve Coeur MO 63141-6857
Phone: (314) 994-0444
Fax: (314) 994-0555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 043919 | Missouri |
Profile Details
| NPI number | 1376633362 |
|---|---|
| LBN Legal business name | Brockmann, Mary Ellen |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
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