Hargrove, Jody Kay

Hargrove, Jody Kay is an individual health care provider with primary practice located at 7600 France Ave S Ste 5100 , Edina MN 55435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Hargrove, Jody Kay can be contacted via phone (952) 893-1959.

Contact Information

Primary practice address
7600 France Ave S Ste 5100 Edina MN 55435
Phone: (952) 893-1959
Fax: (952) 893-1954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 29227 Minnesota

Profile Details

NPI number 1023012812
LBN Legal business name Hargrove, Jody Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023012812 NPPES
Minnesota Other 411774839A005 CHAMPUS
Minnesota Other 66Q41HA CHAMPUS
Minnesota Other 3217002 CHAMPUS
Minnesota Other 960080401007 CHAMPUS
Minnesota Other 105766C477 CHAMPUS
Minnesota Other 24766 CHAMPUS
Minnesota Other 660003748 CHAMPUS
Minnesota MEDICAID 31558890 CHAMPUS
Minnesota Other HP13471 CHAMPUS

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