Marcus, Michele C

Marcus, Michele C is an individual health care provider with primary practice located at 3844 S Lindbergh Blvd Ste 120, Saint Louis MO 63127-1368. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Marcus, Michele C can be contacted via phone (314) 525-0490.

Contact Information

Primary practice address
3844 S Lindbergh Blvd Ste 120 Saint Louis MO 63127-1368
Phone: (314) 525-0490
Fax: (314) 525-0434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 104267 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011001347 Missouri

Profile Details

NPI number 1932160637
LBN Legal business name Marcus, Michele C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 11th, 2017 - about 9 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 1932160637 NPPES
Missouri MEDICAID 429078108

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