Mccray, Julie Fahl
Mccray, Julie Fahl is an sole proprietor health care provider with primary practice located at 7171 Delmar Blvd Suite 201, Saint Louis MO 63130-4334. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Mccray, Julie Fahl can be contacted via phone (314) 721-5551.Contact Information
Primary practice address
7171 Delmar Blvd Suite 201
Saint Louis MO 63130-4334
Phone: (314) 721-5551
Fax: (314) 721-0123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 014747 | Missouri |
Profile Details
| NPI number | 1235129453 |
|---|---|
| LBN Legal business name | Mccray, Julie Fahl |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1235129453 | NPPES |
| Missouri | MEDICAID | 7208 |
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