Ladove, Robert F

Ladove, Robert F is an individual health care provider with primary practice located at 916 Talon Dr Suite 102, O Fallon IL 62269-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ladove, Robert F can be contacted via phone (618) 628-8211.

Contact Information

Primary practice address
916 Talon Dr Suite 102 O Fallon IL 62269-1848
Fax: (618) 628-0883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Illinois

Profile Details

NPI number 1811076052
LBN Legal business name Ladove, Robert F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jan 10th, 2008 - about 18 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 1811076052 NPPES
Illinois Other 08220357 BCBS PPO PROV#

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