Hargraves, Van A
Hargraves, Van A is an individual health care provider with primary practice located at 5551 Winghaven Blvd Suite 142, O Fallon MO 63368-3617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hargraves, Van A can be contacted via phone (636) 695-2510.Contact Information
Primary practice address
5551 Winghaven Blvd Suite 142
O Fallon MO 63368-3617
Phone: (636) 695-2510
Fax: (636) 695-2512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 107781 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60598761 | Washington |
Profile Details
| NPI number | 1255326385 |
|---|---|
| LBN Legal business name | Hargraves, Van A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Nov 2nd, 2016 - about 9 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 | 1255326385 | NPPES |
| Missouri | Other | 080177925 | RR MEDICARE |
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