4EVER-YOUNG NPI 1215643622

NPI Information

NPI: 1215643622
Provider Name: 4EVER-YOUNG
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
11716 STUDT AVE
CREVE COEUR, MO
ZIP 63141
Phone: (314) 330-8117
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4EVER-YOUNG is a multi-specialty clinic center in Creve Coeur, MO. 4EVER-YOUNG NPI is 1215643622. The provider is registered as an organization entity type.

The provider's business location address is:

11716 STUDT AVE
CREVE COEUR, MO
ZIP 63141-018
Phone: (314) 330-8117

The provider's authorized official is Alina Mccann .
The authorized official title is Owner and has the following contact phone number (314) 753-0476.

The enumeration date for this NPI number is 1/30/2023 and was last updated on 1/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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