Adams, Jerome Mark
Adams, Jerome Mark is an sole proprietor health care provider with primary practice located at 501 E 3Rd St , Burkburnett TX 76354-3481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Adams, Jerome Mark can be contacted via phone (940) 569-3351.Contact Information
Primary practice address
501 E 3Rd St
Burkburnett TX 76354-3481
Phone: (940) 569-3351
Fax: (940) 569-3353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C5941 | Texas |
Profile Details
| NPI number | 1053388868 |
|---|---|
| LBN Legal business name | Adams, Jerome Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jun 9th, 2017 - about 9 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 | 1053388868 | NPPES |
| Texas | MEDICAID | 1150914-01 |
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