Lickerman, David S

Lickerman, David S is an individual health care provider with primary practice located at 232 S Woods Mill Road , Chesterfield MO 63017-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lickerman, David S can be contacted via phone (314) 205-6990.

Contact Information

Primary practice address
232 S Woods Mill Road Chesterfield MO 63017-3417
Phone: (314) 205-6990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R9812 Missouri

Profile Details

NPI number 1205869732
LBN Legal business name Lickerman, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Sep 3rd, 2009 - about 17 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 1205869732 NPPES
Missouri MEDICAID 1205869732
Missouri MEDICAID 201165511

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