Hall, Patrice Edora

Hall, Patrice Edora is an sole proprietor health care provider with primary practice located at 500 Greenway Manor , Florissant MO 63033. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as her primary health care specialty. Hall, Patrice Edora can be contacted via phone (314) 838-2393.

Contact Information

Primary practice address
500 Greenway Manor Florissant MO 63033
Fax: (314) 838-2616
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X Missouri

Profile Details

NPI number 1689231169
LBN Legal business name Hall, Patrice Edora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2019
Last updated May 21st, 2019 - about 5 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 1689231169 NPPES
Missouri MEDICAID 374U00000X

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