Shuldberg, Mark Miller
Shuldberg, Mark Miller is an individual health care provider with primary practice located at 3635 Vista Ave , Saint Louis MO 63110-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Shuldberg, Mark Miller can be contacted via phone (314) 577-8782.Contact Information
Primary practice address
3635 Vista Ave
Saint Louis MO 63110-2539
Phone: (314) 577-8782
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2013010528 | Missouri |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 2013010528 | Missouri |
Profile Details
| NPI number | 1881905164 |
|---|---|
| LBN Legal business name | Shuldberg, Mark Miller |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2010 |
| Last updated | May 2nd, 2016 - about 10 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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