Mr. Baron K Short
Mr. Baron K Short is a Customized Equipment (DME) in O Fallon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
729 W US Highway 50 Ste FO Fallon, IL 62269-1972
Phone: (618) 447-3392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 3949-4810 (IL) |
|---|
Record details
| NPI number | 1811220577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2009 |
| Last updated in NPPES | September 14, 2009 |
| Mailing address | 729 W Us Highway 50, Ste F, O Fallon, IL 62269-1972 |