Healthcare Provider Details
I. General information
NPI: 1811988611
Provider Name (Legal Business Name): SOUND HEALTH SERVICES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2005
Last Update Date: 07/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1010 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US
IV. Provider business mailing address
1010 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US
V. Phone/Fax
- Phone: 314-722-0077
- Fax: 314-729-0101
- Phone: 314-722-0077
- Fax: 314-729-0101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | MO |
VIII. Authorized Official
Name:
RICHARD
E
SCHRICK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 314-842-3828