Individual
JENNIFER SEWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1031 BELLEVUE AVE, SUITE 300, SAINT LOUIS, MO 63117-1818
(314) 647-9444
(314) 647-7317
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 647-9444
(314) 647-7317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000146148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010854
ESSENCE
MO
01
—
0106709
UHC
MO
01
—
150429
BCBS
MO
01
—
217738
GHP
MS
01
—
467007
HEALTHLINK
MO
01
—
7862306
AETNA
MO
01
—
H40588
MERCY
MO
Enumeration date
11/10/2005
Last updated
09/28/2012
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