Facer, Evan Elyse
Facer, Evan Elyse is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Infectious Disease, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Facer, Evan Elyse can be contacted via phone (314) 454-6050.Contact Information
Primary practice address
1 Childrens Pl Div Ped Infectious Disease
Saint Louis MO 63110-1002
Phone: (314) 454-6050
Fax: (855) 887-7850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 2023020624 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2023020624 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 036-148614 | Illinois |
Profile Details
| NPI number | 1851753677 |
|---|---|
| LBN Legal business name | Facer, Evan Elyse |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2016 |
| Last updated | Jul 30th, 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 | 1851753677 | NPPES |
| Missouri | MEDICAID | 200126754 |
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1 Childrens Pl Div Ped Infectious Disease, Saint Louis MO 63110-1002