Abraham, John L
Abraham, John L is an individual health care provider with primary practice located at 2740 N Mayfair Ave , Springfield MO 65803-5084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abraham, John L can be contacted via phone (417) 521-3925.Contact Information
Primary practice address
2740 N Mayfair Ave
Springfield MO 65803-5084
Phone: (417) 521-3925
Fax: (417) 521-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD115778 | Missouri |
Profile Details
| NPI number | 1760595136 |
|---|---|
| LBN Legal business name | Abraham, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jan 13th, 2020 - about 5 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 | 1760595136 | NPPES |
| Kansas | MEDICAID | 200374490A | |
| Kansas | MEDICAID | 243419306 | |
| Kansas | MEDICAID | 200079890A |
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