Parks, David Alan
Parks, David Alan is an individual health care provider with primary practice located at 3960 Lindell Blvd , St Louis MO 63108-3204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Parks, David Alan can be contacted via phone (314) 652-0100.Contact Information
Primary practice address
3960 Lindell Blvd
St Louis MO 63108-3204
Phone: (314) 652-0100
Fax: (314) 652-0125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 105677 | Missouri |
Profile Details
| NPI number | 1649315219 |
|---|---|
| LBN Legal business name | Parks, David Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 21st, 2010 - about 15 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 | 1649315219 | NPPES |
| Missouri | MEDICAID | 208695320 |
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