Taves, Adam Winston

Taves, Adam Winston is an individual health care provider with primary practice located at 300 First Capitol Drive , St. Charles MO 63301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Taves, Adam Winston can be contacted via phone (636) 947-5444.

Contact Information

Primary practice address
300 First Capitol Drive St. Charles MO 63301
Phone: (636) 947-5444
Fax: (636) 947-5259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2012021368 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036127740 Illinois

Profile Details

NPI number 1003038746
LBN Legal business name Taves, Adam Winston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Oct 3rd, 2023 - about last year

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 1003038746 NPPES
Illinois MEDICAID 036027740
Illinois MEDICAID 209067503

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