Jefferson Physician Network, Llc
LBN: Jefferson Physician Network, Llc
Jefferson Physician Network, Llc is an health care organization with primary practice located at 1105 W Liberty St , Farmington MO 63640-1921. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty.
Jefferson Physician Network, Llc can be contacted via phone (636) 933-2900, or through Buck, Jeff via phone (636) 933-1000.
Contact Information
Primary practice address
1105 W Liberty St
Farmington MO 63640-1921
Phone: (636) 933-2900
Fax: (636) 933-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 2009008025 | Missouri |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 2010010722 | Missouri |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 2009017530 | Missouri |
Profile Details
| NPI number | 1568734994 |
|---|---|
| LBN Legal business name | Jefferson Physician Network, Llc |
| DBA Doing business as | |
| Authorized official | Buck, Jeff |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2012 |
| Last updated | Feb 1st, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568734994 | NPPES |
| Missouri | Other | 1558508606 | NPI |
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