Han, Enoch David

Han, Enoch David is an individual health care provider with primary practice located at 1225 S Grand Blvd # 2L , Saint Louis MO 63104-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Han, Enoch David can be contacted via phone (314) 977-4440.

Contact Information

Primary practice address
1225 S Grand Blvd # 2L Saint Louis MO 63104-1016
Phone: (314) 977-4440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD0688602L Pennsylvania

Profile Details

NPI number 1730146606
LBN Legal business name Han, Enoch David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 26th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730146606 NPPES
Pennsylvania MEDICAID 0017572020004

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