Drake, William K
Drake, William K is an sole proprietor health care provider with primary practice located at 150 Carondelet Plz Unit 2301 , Clayton MO 63105-3455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Drake, William K can be contacted via phone (618) 887-9720.Contact Information
Primary practice address
150 Carondelet Plz Unit 2301
Clayton MO 63105-3455
Phone: (618) 887-9720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | R3047 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | R3047 | Missouri |
Profile Details
| NPI number | 1801880976 |
|---|---|
| LBN Legal business name | Drake, William K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jan 23rd, 2025 - about last year |
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 | 1801880976 | NPPES |
| Illinois | Other | 0006000411 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036041313 | BLUE CROSS BLUE SHIELD |
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