Pelikan, Mark S
Pelikan, Mark S is an individual health care provider with primary practice located at 637 Dunn Rd Ste 170 , Hazelwood MO 63042-1759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pelikan, Mark S can be contacted via phone (314) 838-5702.Contact Information
Primary practice address
637 Dunn Rd Ste 170
Hazelwood MO 63042-1759
Phone: (314) 838-5702
Fax: (314) 839-5596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2001009342 | Missouri |
Profile Details
| NPI number | 1891769253 |
|---|---|
| LBN Legal business name | Pelikan, Mark S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Feb 8th, 2019 - about 7 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 | 1891769253 | NPPES |
| Missouri | Other | P00090948 | RAILROAD MEDICARE |
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