Healthcare Provider Details

I. General information

NPI: 1396107959
Provider Name (Legal Business Name): HHC HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N NEW BALLAS RD SUITE 202 SOUTH WING
SAINT LOUIS MO
63141-6835
US

IV. Provider business mailing address

450 N NEW BALLAS RD SUITE 202 SOUTH WING
SAINT LOUIS MO
63141-6835
US

V. Phone/Fax

Practice location:
  • Phone: 314-991-6969
  • Fax: 314-997-6969
Mailing address:
  • Phone: 314-991-6969
  • Fax: 314-997-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ALLEN SOFFER
Title or Position: MANAGING PARTNER
Credential:
Phone: 314-991-6969