Kistler, Walter David
Kistler, Walter David is an sole proprietor health care provider with primary practice located at 950 Francis Pl S-113, Saint Louis MO 63105-2465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kistler, Walter David can be contacted via phone (314) 721-0411.Contact Information
Primary practice address
950 Francis Pl S-113
Saint Louis MO 63105-2465
Phone: (314) 721-0411
Fax: (314) 721-5968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R3878 | Missouri |
Profile Details
| NPI number | 1922005834 |
|---|---|
| LBN Legal business name | Kistler, Walter David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | May 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922005834 | NPPES |
| Other | 431059684 | FED TAX ID | |
| Other | 186857 | FED TAX ID | |
| MEDICAID | 200690907 | FED TAX ID | |
| Other | 178790 | FED TAX ID | |
| Other | P00174135 | FED TAX ID | |
| Other | 000003759 | FED TAX ID |
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