Menzel, Stephen
Menzel, Stephen is an individual health care provider with primary practice located at 699 Gravois Bluffs Blvd , Fenton MO 63026-7715. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Menzel, Stephen can be contacted via phone (636) 349-3005.Contact Information
Primary practice address
699 Gravois Bluffs Blvd
Fenton MO 63026-7715
Phone: (636) 349-3005
Fax: (636) 305-1021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03209 | Missouri |
Profile Details
| NPI number | 1063418051 |
|---|---|
| LBN Legal business name | Menzel, Stephen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Nov 18th, 2014 - about 12 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 | 1063418051 | NPPES |
| Missouri | Other | 410039572 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 317991131 | RAILROAD MEDICARE |
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