Budge, Philip Jensen

Budge, Philip Jensen is an individual health care provider with primary practice located at 620 S Taylor Ave Div Im Infectious Disease, Ste 100, Saint Louis MO 63110-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Budge, Philip Jensen can be contacted via phone (314) 362-9098.

Contact Information

Primary practice address
620 S Taylor Ave Div Im Infectious Disease, Ste 100 Saint Louis MO 63110-1035
Phone: (314) 362-9098
Fax: (314) 362-9851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 2014018769 Missouri

Profile Details

NPI number 1194929687
LBN Legal business name Budge, Philip Jensen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Apr 25th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194929687 NPPES
Missouri MEDICAID 200014992

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