Iborg, Deborah
Iborg, Deborah is an individual health care provider with primary practice located at 3400 Pershall Rd , Saint Louis MO 63135-1408. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Iborg, Deborah can be contacted via phone (314) 513-4285.Contact Information
Primary practice address
3400 Pershall Rd
Saint Louis MO 63135-1408
Phone: (314) 513-4285
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 00047 | Missouri |
Profile Details
| NPI number | 1265407332 |
|---|---|
| LBN Legal business name | Iborg, Deborah |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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