Cantrell, Charles R

Cantrell, Charles R is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cantrell, Charles R can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Phone: (314) 251-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R2P09 Missouri

Profile Details

NPI number 1568438307
LBN Legal business name Cantrell, Charles R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568438307 NPPES
Arkansas MEDICAID 202311003
Arkansas MEDICAID 243037579
Arkansas MEDICAID 100195170A
Arkansas MEDICAID 1568438307
Arkansas Other P00199788

Popular Providers