Mr. John David Bouhasin
Pediatric Hematology-Oncologist
7629 Bracken Circle
StLouis
, Missouri 63123
Mr. John David Bouhasin
Pediatric Hematology-Oncologist
7629 Bracken Circle
StLouis
, Missouri 63123
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Mr. John David Bouhasin
- 7629 Bracken Circle
- St. Louis, MO
- Zip : 63123
- Phone :
Second Address
- Mr. John David Bouhasin
- 7629 Bracken Circle
- St. Louis, MO
- Zip : 63123
- Fax : (314) 842-7529
- Phone : (314) 842-7629
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 26684 | MO |
National Provider Identifier
| NPI | 1083858336 |
|---|---|
| Provider Name | Mr. John David Bouhasin |
| First Address | St. Louis, MO 63123 |
| Second Address | St. Louis, MO 63123 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2009 |
| Last Update Date | 29/04/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A10848 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.