Hargrove, Lily Wise
Hargrove, Lily Wise is an individual health care provider with primary practice located at 2 Boars Head Pl Suite 110, Charlottesville VA 22903-4677. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hargrove, Lily Wise can be contacted via phone (434) 202-7830.Contact Information
Primary practice address
2 Boars Head Pl Suite 110
Charlottesville VA 22903-4677
Phone: (434) 202-7830
Fax: (434) 202-7823
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101057199 | Virginia |
Profile Details
NPI number | 1740249317 |
---|---|
LBN Legal business name | Hargrove, Lily Wise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2006 |
Last updated | Jun 13th, 2014 - about 10 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 | 1740249317 | NPPES |
Virginia | Other | 540261840 | TRICARE |
Virginia | Other | 010142105 | TRICARE |
Virginia | MEDICAID | 010142105 | TRICARE |
Virginia | Other | 7988480003 | TRICARE |
Virginia | Other | 260216 | TRICARE |
Virginia | Other | P00233742 | TRICARE |
Virginia | Other | 176102 | TRICARE |
Virginia | Other | 2131900 | TRICARE |
Virginia | Other | 94928 | TRICARE |
Virginia | Other | 176102 | TRICARE |
Virginia | Other | 540261840 | TRICARE |
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