Grant, David Dupriest
Grant, David Dupriest is an sole proprietor health care provider with primary practice located at 5 Sage Meadows Ct , O Fallon MO 63366-4189. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Grant, David Dupriest can be contacted via phone (803) 325-5427.Contact Information
Primary practice address
5 Sage Meadows Ct
O Fallon MO 63366-4189
Phone: (803) 325-5427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2022004385 | Missouri |
Profile Details
| NPI number | 1639622152 |
|---|---|
| LBN Legal business name | Grant, David Dupriest |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2016 |
| Last updated | Apr 26th, 2023 - about 3 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 | 1639622152 | NPPES |
| Missouri | MEDICAID | 490112443 |
Popular Providers
-
Gronski, Mark
311 S Main St Suite 100, O Fallon MO 63366-2807 -
Kessler, Katie
105 Church St , O Fallon MO 63366-2894 -
Adamo, Megan Julius
4142 Keaton Crossing Blvd Ste 101 , O Fallon MO 63368-8406 -
Taylor, Rebecca
4132 Keaton Crossing Blvd Ste 204 , O Fallon MO 63368-8223 -
Harper, Danielle Marie
210 Thorn Brook Dr , O Fallon MO 63366-4975 -
Herzberg, Linda Kathryn
1137 N Main St Suite 2, O Fallon MO 63366-1217 -
St. Peter, Heather
105 Church St , O Fallon MO 63366-2894 -
Carter-Jameson, Sara Ann
103 Lincoln St , O Fallon MO 63366-1603