Adams, Mark A

Adams, Mark A is an individual health care provider with primary practice located at 1 S Keene St , Columbia MO 65201-7199. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Adams, Mark A can be contacted via phone (573) 443-2402.

Contact Information

Primary practice address
1 S Keene St Columbia MO 65201-7199
Fax: (573) 443-0574
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R1H01 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X R1H01 Missouri

Profile Details

NPI number 1275526865
LBN Legal business name Adams, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Apr 19th, 2012 - about 12 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 1275526865 NPPES
Missouri MEDICAID 202407615

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