Hargrave, Brad

Hargrave, Brad is an individual health care provider with primary practice located at 411 Maple Summit Rd , Jerseyville IL 62052. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hargrave, Brad can be contacted via phone (618) 498-6493.

Contact Information

Primary practice address
411 Maple Summit Rd Jerseyville IL 62052
Phone: (618) 498-6493
Fax: (618) 498-6493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.026811 Illinois
Dental Providers / General Practice 1223G0001X 019026811 Illinois

Profile Details

NPI number 1508933730
LBN Legal business name Hargrave, Brad
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Mar 4th, 2024 - about last year

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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