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 / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2023020624 Missouri
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 2023020624 Missouri

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 Apr 25th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851753677 NPPES
Missouri MEDICAID 200126754

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