Hailu, Roman

Hailu, Roman is an sole proprietor health care provider with primary practice located at 12345 Saint Charles Rock Rd , Bridgeton MO 63044-2505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hailu, Roman can be contacted via phone (646) 266-0910.

Contact Information

Primary practice address
12345 Saint Charles Rock Rd Bridgeton MO 63044-2505
Phone: (646) 266-0910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 206334-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2014024606 Missouri

Profile Details

NPI number 1538413794
LBN Legal business name Hailu, Roman
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2012
Last updated Nov 10th, 2020 - 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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