Raney, Meaghan Nicole
Raney, Meaghan Nicole is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Raney, Meaghan Nicole can be contacted via phone (314) 577-5360.Contact Information
Primary practice address
1465 S Grand Blvd
Saint Louis MO 63104-1003
Phone: (314) 577-5360
Fax: (314) 268-4116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2019005686 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 2019005686 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036151744 | Illinois |
Profile Details
| NPI number | 1790154706 |
|---|---|
| LBN Legal business name | Raney, Meaghan Nicole |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2015 |
| Last updated | Mar 19th, 2023 - about 3 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 | 1790154706 | NPPES |
| Missouri | MEDICAID | I20180601002476 |
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