Neudecker, Michele

Neudecker, Michele is an individual health care provider with primary practice located at 2325 Dougherty Ferry Rd Ste 104 , Saint Louis MO 63122-3356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Neudecker, Michele can be contacted via phone (148) 216-8893.

Contact Information

Primary practice address
2325 Dougherty Ferry Rd Ste 104 Saint Louis MO 63122-3356
Phone: (148) 216-8893
Fax: (314) 457-9341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 076292 Missouri

Profile Details

NPI number 1851381206
LBN Legal business name Neudecker, Michele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 28th, 2020 - about 6 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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