Hodges, Harlan Dru
Hodges, Harlan Dru is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hodges, Harlan Dru can be contacted via phone (314) 525-1906.Contact Information
Primary practice address
10010 Kennerly Rd
Saint Louis MO 63128-2106
Phone: (314) 525-1906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 118457 | Missouri |
Profile Details
| NPI number | 1063494581 |
|---|---|
| LBN Legal business name | Hodges, Harlan Dru |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jun 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063494581 | NPPES |
| Missouri | MEDICAID | 205195522 |
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