Douglas, Stephanie

Douglas, Stephanie is an sole proprietor health care provider with primary practice located at 4455 Duncan Ave , Saint Louis MO 63110-1111. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Douglas, Stephanie can be contacted via phone (617) 419-0613.

Contact Information

Primary practice address
4455 Duncan Ave Saint Louis MO 63110-1111
Phone: (617) 419-0613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ETL-6027 Massachusetts
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01084127A Indiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2021025372 Missouri

Profile Details

NPI number 1679986277
LBN Legal business name Douglas, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2014
Last updated Nov 18th, 2021 - about 4 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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