Hargrove, Robert Hadley

Hargrove, Robert Hadley is an sole proprietor health care provider with primary practice located at 10 Sierra Gate Plz Ste 120 , Roseville CA 95678-6647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Hargrove, Robert Hadley can be contacted via phone (916) 784-1155.

Contact Information

Primary practice address
10 Sierra Gate Plz Ste 120 Roseville CA 95678-6647
Phone: (916) 784-1155
Fax: (916) 773-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G46499 California

Profile Details

NPI number 1114940343
LBN Legal business name Hargrove, Robert Hadley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114940343 NPPES
Colorado Other 680021148 BLUE SHIELD
Colorado MEDICAID 00G464990 BLUE SHIELD
Colorado Other 680021148 BLUE SHIELD
Colorado Other 680021148 BLUE SHIELD

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