Draves, Earl Gene
Draves, Earl Gene is an sole proprietor health care provider with primary practice located at 1471 Us Highway 61 , Festus MO 63028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Draves, Earl Gene can be contacted via phone (636) 937-2700.Contact Information
Primary practice address
1471 Us Highway 61
Festus MO 63028
Phone: (636) 937-2700
Fax: (636) 937-8666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD103429 | Missouri |
Profile Details
| NPI number | 1164416624 |
|---|---|
| LBN Legal business name | Draves, Earl Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Mar 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164416624 | NPPES |
| Mississippi | Other | 080102341 | R.R. MEDICARE |
| Mississippi | MEDICAID | 208290403 | R.R. MEDICARE |
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