Ganninger, Paul R
Ganninger, Paul R is an individual health care provider with primary practice located at 1585 Woodlake Dr Suite 100, Chesterfield MO 63017-5740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ganninger, Paul R can be contacted via phone (314) 434-4278.Contact Information
Primary practice address
1585 Woodlake Dr Suite 100
Chesterfield MO 63017-5740
Phone: (314) 434-4278
Fax: (314) 851-4466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2003003397 | Missouri |
Profile Details
| NPI number | 1588625693 |
|---|---|
| LBN Legal business name | Ganninger, Paul R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Feb 18th, 2015 - about 11 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 | 1588625693 | NPPES |
| Missouri | MEDICAID | 209094002 |
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