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NPI Code Detail

MEDICARE: BABAR ENTERPRISES LLC

MEDICARE: BABAR ENTERPRISES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1334MO

General Provider Information

NPI Number : 1528223070
Entity Type Code : Organization
Provider Name (Legal Business Name) : BABAR ENTERPRISES LLC
Provider Business Mailing Address
First Line : 2454 W CLAY ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2548
Country : US
Telephone Number : 636-916-4625
Fax Number : 636-916-4628
Provider Business Practice Location Address
First Line : 2454 W CLAY ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2548
Country : US
Telephone Number : 636-949-3926
Fax Number : 636-949-3928
Authorized Official
Title or Position : OWNER / AUTHROIZED OFFICIAL
Name : STEVEN N DAVIDSON
Credential :
Telephone Number : 616-356-5000
Provider Enumeration Date : 07/24/2008
Last Update Date : 04/14/2014

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Directions to “BABAR ENTERPRISES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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