Scodary, Daniel J

Scodary, Daniel J is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Scodary, Daniel J can be contacted via phone (314) 525-1000.

Contact Information

Primary practice address
10010 Kennerly Rd Saint Louis MO 63128-2106
Phone: (314) 525-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME127387 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X R8N28 Missouri

Profile Details

NPI number 1619965316
LBN Legal business name Scodary, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Apr 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619965316 NPPES
Missouri Other 30173 BLUE CROSS BLUE SHIELD
Missouri MEDICAID PENDING BLUE CROSS BLUE SHIELD
Missouri Other 130004994 BLUE CROSS BLUE SHIELD
Missouri Other PENDING BLUE CROSS BLUE SHIELD

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