Provider Demographics
NPI:1750334652
Name:NAHLIK, JAMES E (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:NAHLIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:15563 PARASOL DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7460
Mailing Address - Country:US
Mailing Address - Phone:314-369-3705
Mailing Address - Fax:314-723-5690
Practice Address - Street 1:15563 PARASOL DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-7460
Practice Address - Country:US
Practice Address - Phone:314-369-3705
Practice Address - Fax:314-723-5690
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO36499207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202263745Medicaid
IL$$$$$$$$$-4Medicaid
MO202263745Medicaid
MO916014748Medicare PIN
A11561Medicare UPIN
IL$$$$$$$$$-1Medicaid
IL$$$$$$$$$-4Medicaid
MO916014748Medicare ID - Type UnspecifiedECI EMERGENCY CONSULT