Hildreth, Craig R
Hildreth, Craig R is an individual health care provider with primary practice located at 10004 Kennerly Rd Ste 137A , Saint Louis MO 63128-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Hildreth, Craig R can be contacted via phone (314) 842-7301.Contact Information
Primary practice address
10004 Kennerly Rd Ste 137A
Saint Louis MO 63128-2140
Phone: (314) 842-7301
Fax: (314) 842-7308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | R6F58 | Missouri |
Profile Details
| NPI number | 1851393136 |
|---|---|
| LBN Legal business name | Hildreth, Craig R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1851393136 | NPPES |
| Missouri | MEDICAID | 203709100 |
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