Stewart, Larry Paul
Stewart, Larry Paul is an sole proprietor health care provider with primary practice located at 1408 N Kingshighway Blvd Suite 110, Saint Louis MO 63113-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stewart, Larry Paul can be contacted via phone (314) 361-8283.Contact Information
Primary practice address
1408 N Kingshighway Blvd Suite 110
Saint Louis MO 63113-1400
Phone: (314) 361-8283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R6898 | Missouri |
Profile Details
| NPI number | 1750378675 |
|---|---|
| LBN Legal business name | Stewart, Larry Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jan 27th, 2010 - about 16 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 | 1750378675 | NPPES |
| Missouri | MEDICAID | 201367703 |
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