Impey, Michael David

Impey, Michael David is an sole proprietor health care provider with primary practice located at 2355 Dougherty Ferry Road Suite 408, St. Louis MO 63122. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Impey, Michael David can be contacted via phone (314) 821-3111.

Contact Information

Primary practice address
2355 Dougherty Ferry Road Suite 408 St. Louis MO 63122
Phone: (314) 821-3111
Fax: (314) 821-8846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R9B88 Missouri

Profile Details

NPI number 1508926304
LBN Legal business name Impey, Michael David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508926304 NPPES
Missouri MEDICAID 241986835

Popular Providers