Slocum, Stephen G

Slocum, Stephen G is an individual health care provider with primary practice located at 222 S Woods Mill Rd Suite 660N, Chesterfield MO 63017-3625. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Slocum, Stephen G can be contacted via phone (314) 878-9902.

Contact Information

Primary practice address
222 S Woods Mill Rd Suite 660N Chesterfield MO 63017-3625
Fax: (314) 878-5112
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R9248 Missouri

Profile Details

NPI number 1669418109
LBN Legal business name Slocum, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jun 8th, 2011 - about 15 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 1669418109 NPPES
Missouri MEDICAID 201108339

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