Defalco, Jane E

Defalco, Jane E is an individual health care provider with primary practice located at 16216 Baxter Rd Suite 310, Chesterfield MO 63017-4770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Defalco, Jane E can be contacted via phone (636) 519-8899.

Contact Information

Primary practice address
16216 Baxter Rd Suite 310 Chesterfield MO 63017-4770
Fax: (636) 519-0011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R5675 Missouri

Profile Details

NPI number 1336272632
LBN Legal business name Defalco, Jane E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jan 23rd, 2015 - about 11 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 1336272632 NPPES
Missouri MEDICAID 209702802

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