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
Phone: (314) 838-2393
Fax: (314) 838-2616
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689231169 | NPPES |
Missouri | MEDICAID | 374U00000X |
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