Hailu, Roman
Hailu, Roman is an sole proprietor health care provider with primary practice located at 11525 Olde Cabin Rd , Saint Louis MO 63141-7146. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hailu, Roman can be contacted via phone (314) 997-0554.Contact Information
Primary practice address
11525 Olde Cabin Rd
Saint Louis MO 63141-7146
Phone: (314) 997-0554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R 206334-6 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2014019178 | Missouri |
Profile Details
| NPI number | 1538413794 |
|---|---|
| LBN Legal business name | Hailu, Roman |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2012 |
| Last updated | Oct 23rd, 2024 - about 2 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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