Patterson, Michael Edward
Patterson, Michael Edward is an individual health care provider with primary practice located at 8660 Veterans Memorial Pkwy , O Fallon MO 63366-7537. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Patterson, Michael Edward can be contacted via phone (636) 978-3568.Contact Information
Primary practice address
8660 Veterans Memorial Pkwy
O Fallon MO 63366-7537
Phone: (636) 978-3568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051303379 | Illinois |
| Pharmacy Service Providers / Pharmacist | 183500000X | 2020032441 | Missouri |
Profile Details
| NPI number | 1710555347 |
|---|---|
| LBN Legal business name | Patterson, Michael Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2021 |
| Last updated | Jun 10th, 2021 - about 5 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 | 1710555347 | NPPES |
| Illinois | Other | 051303379 | LICENCED PHARMACIST IL |
| Illinois | Other | 2020032441 | LICENCED PHARMACIST IL |
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