Fan, Xiaohul

Fan, Xiaohul is an individual health care provider with primary practice located at 255 Boderman , Bloomsdale MO 63627-9099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fan, Xiaohul can be contacted via phone (573) 483-3131.

Contact Information

Primary practice address
255 Boderman Bloomsdale MO 63627-9099
Phone: (573) 483-3131
Fax: (573) 883-1195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2003013364 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 2003013364 Missouri

Profile Details

NPI number 1245276252
LBN Legal business name Fan, Xiaohul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 17th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245276252 NPPES
Missouri Other 646127 HEALTHLINK
Missouri Other P00822140 HEALTHLINK
Missouri Other P00702176 HEALTHLINK
Missouri Other 43152 HEALTHLINK
Missouri MEDICAID 209158609 HEALTHLINK

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