Nathan, Charles Robert

Nathan, Charles Robert is an individual health care provider with primary practice located at 845 N New Ballas Ct Suite 300, Saint Louis MO 63141-7134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Nathan, Charles Robert can be contacted via phone (314) 569-0130.

Contact Information

Primary practice address
845 N New Ballas Ct Suite 300 Saint Louis MO 63141-7134
Phone: (314) 569-0130
Fax: (314) 569-3674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD110027 Missouri

Profile Details

NPI number 1477723799
LBN Legal business name Nathan, Charles Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2008
Last updated Feb 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477723799 NPPES
Missouri Other 240007092 RR MEDICARE

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