1609915511 NPI number — MS. MARGARET ALISON HEFNER M.S.

Table of content: MS. MARGARET ALISON HEFNER M.S. (NPI 1609915511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609915511 NPI number — MS. MARGARET ALISON HEFNER M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEFNER
Provider First Name:
MARGARET
Provider Middle Name:
ALISON
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609915511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1465 S GRAND BLVD
Provider Second Line Business Mailing Address:
DIVISION OF MEDICAL GENETICS
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63104-1003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-577-5639
Provider Business Mailing Address Fax Number:
314-268-4112

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6420 CLAYTON RD
Provider Second Line Business Practice Location Address:
FETU-GENETICS
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63117-1811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-768-8730
Provider Business Practice Location Address Fax Number:
314-768-7137
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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