Ennis, James R

Ennis, James R is an individual health care provider with primary practice located at 180 Northstar , Holts Summit MO 65043. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ennis, James R can be contacted via phone (573) 896-5115.

Contact Information

Primary practice address
180 Northstar Holts Summit MO 65043
Phone: (573) 896-5115
Fax: (573) 896-4272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X R6639 Missouri

Profile Details

NPI number 1881666865
LBN Legal business name Ennis, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 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 1881666865 NPPES
Other 813149 FIRST HEALTH
Other 104257 FIRST HEALTH
Other 100491 FIRST HEALTH
Other 7779636 FIRST HEALTH
MEDICAID 240009803 FIRST HEALTH
MEDICAID 501607808 FIRST HEALTH

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