Fatheree, Randy S
Fatheree, Randy S is an individual health care provider with primary practice located at 10 Hospital Dr , Saint Peters MO 63376-1659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fatheree, Randy S can be contacted via phone (314) 895-3828.Contact Information
Primary practice address
10 Hospital Dr
Saint Peters MO 63376-1659
Phone: (314) 895-3828
Fax: (314) 895-3827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 108473 | Missouri |
Profile Details
| NPI number | 1780671065 |
|---|---|
| LBN Legal business name | Fatheree, Randy S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Mar 28th, 2010 - about 16 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 | 1780671065 | NPPES |
| Missouri | MEDICAID | 244631008 |
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