Huettner, Phyllis C

Huettner, Phyllis C is an individual health care provider with primary practice located at 425 S Euclid Ave 3Rd Floor, Saint Louis MO 63110-1005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Huettner, Phyllis C can be contacted via phone (314) 362-5641.

Contact Information

Primary practice address
425 S Euclid Ave 3Rd Floor Saint Louis MO 63110-1005
Phone: (314) 362-5641
Fax: (314) 362-0369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R7P35 Missouri

Profile Details

NPI number 1730105057
LBN Legal business name Huettner, Phyllis C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730105057 NPPES
Missouri MEDICAID 021010176
Missouri MEDICAID 1998117

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