Weisbart, Edmond S

Weisbart, Edmond S is an individual health care provider with primary practice located at 4901 Forest Park Ave Wohl Clinic Ste 241, Saint Louis MO 63108-1402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Weisbart, Edmond S can be contacted via phone (314) 362-5060.

Contact Information

Primary practice address
4901 Forest Park Ave Wohl Clinic Ste 241 Saint Louis MO 63108-1402
Phone: (314) 362-5060
Fax: (314) 362-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2003028097 Missouri

Profile Details

NPI number 1467455964
LBN Legal business name Weisbart, Edmond S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 29th, 2018 - about 7 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 1467455964 NPPES
Illinois MEDICAID 036064108
Illinois MEDICAID 208314708

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