Degarmo, Braxton Henry
Degarmo, Braxton Henry is an sole proprietor health care provider with primary practice located at 433 Carson Rd , Saint Louis MO 63135-2317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Degarmo, Braxton Henry can be contacted via phone (314) 522-3957.Contact Information
Primary practice address
433 Carson Rd
Saint Louis MO 63135-2317
Phone: (314) 522-3957
Fax: (314) 522-3957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R7F46 | Missouri |
Profile Details
| NPI number | 1396781852 |
|---|---|
| LBN Legal business name | Degarmo, Braxton Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Feb 6th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396781852 | NPPES |
| Missouri | MEDICAID | 202273637 | |
| Missouri | MEDICAID | 202273629 |
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