Felker, John Russell

Felker, John Russell is an individual health care provider with primary practice located at 3 Doctors Park , Cape Girardeau MO 63703-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Felker, John Russell can be contacted via phone (573) 334-7748.

Contact Information

Primary practice address
3 Doctors Park Cape Girardeau MO 63703-4927
Fax: (573) 334-5724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X R9126 Missouri

Profile Details

NPI number 1811937816
LBN Legal business name Felker, John Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1811937816 NPPES
Missouri Other 0296520001 MEDICARE SUPPLIER (DMERC)
Missouri Other 177987 MEDICARE SUPPLIER (DMERC)
Missouri Other 26534 MEDICARE SUPPLIER (DMERC)

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