Ivester, Marsha J

Ivester, Marsha J is an sole proprietor health care provider with primary practice located at 4218 North Grand Blvd , St. Louis MO 63107-1952. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ivester, Marsha J can be contacted via phone (314) 534-6624.

Contact Information

Primary practice address
4218 North Grand Blvd St. Louis MO 63107-1952
Phone: (314) 534-6624
Fax: (314) 535-4394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16090 Missouri
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801162474
LBN Legal business name Ivester, Marsha J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2012
Last updated Dec 22nd, 2015 - about 10 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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