Provider Demographics
NPI:1083171474
Name:SAFE TRANSITIONS MD PC
Entity Type:Organization
Organization Name:SAFE TRANSITIONS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MUNIER
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-BECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-222-8699
Mailing Address - Street 1:452 SOVEREIGN CT STE A
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4447
Mailing Address - Country:US
Mailing Address - Phone:636-222-8699
Mailing Address - Fax:636-238-5434
Practice Address - Street 1:452 SOVEREIGN CT STE A
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-4447
Practice Address - Country:US
Practice Address - Phone:636-222-8699
Practice Address - Fax:636-238-5434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty