Lindenwood University
Organization Active NPI Orthopaedic Surgery Physician · Saint Charles, MO
NPI 1831646397 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1831646397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 2013027435 (MO)
- Legal business name
- LINDENWOOD UNIVERSITY
- Practice address
- 209 S Kingshighway St
Saint Charles, MO 63301-1693 - Phone
- (636) 949-2000
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Mouzon Bass III
- Title
- Agent
- Phone
- (972) 367-4845
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Lindenwood University
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 2013027435 | MO | Yes |
Addresses
Primary practice location
209 S Kingshighway St
Saint Charles, MO 63301-1693
Mailing address
5050 Spring Valley Rd.
Dallas, TX 75244-3909
Other names
- Lindenwood University Sports Medicine
Other providers in Saint Charles, MO
- Life Restoration Counseling, LLC
- Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
- Lifetime Love & Care, LLC
- Heather Lilledahl
- Linden Lactation LLC
- Petina Collier Lindsey
- Charles M Linsenmeyer
- James Linsin
- Lisa Adams Counseling LLC
- Linda Smith Litschgi
All providers in Saint Charles, MO · Orthopaedic Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.