Codd, John

Codd, John is an individual health care provider with primary practice located at 126 Southarm Dr , Saint Louis MO 63122-4658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Codd, John can be contacted via phone (314) 822-1938.

Contact Information

Primary practice address
126 Southarm Dr Saint Louis MO 63122-4658
Phone: (314) 822-1938
Fax: (314) 698-2838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036052808 Illinois

Profile Details

NPI number 1124066550
LBN Legal business name Codd, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Dec 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124066550 NPPES
Illinois Other 207988 GROUP MEDICARE
Illinois Other CG2264 GROUP MEDICARE
Illinois MEDICAID 0283463021 GROUP MEDICARE
Illinois Other 04132028 GROUP MEDICARE
Illinois Other P00299003 GROUP MEDICARE

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