Jeffries, Joel T

Jeffries, Joel T is an individual health care provider with primary practice located at 1100 Virginia Ave , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jeffries, Joel T can be contacted via phone (573) 882-2663.

Contact Information

Primary practice address
1100 Virginia Ave Columbia MO 65212-0001
Phone: (573) 882-2663
Fax: (573) 882-1760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R3F55 Missouri

Profile Details

NPI number 1447207048
LBN Legal business name Jeffries, Joel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Nov 18th, 2010 - about 15 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 1447207048 NPPES
Missouri Other 204954 BLUE SHIELD/BLUE CHOICE
Missouri Other 168697 BLUE SHIELD/BLUE CHOICE
Missouri MEDICAID 202251237 BLUE SHIELD/BLUE CHOICE

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