Jones, Mark R

Jones, Mark R is an individual health care provider with primary practice located at 1057 Medical Park Dr Suite A, Osage Beach MO 65065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Mark R can be contacted via phone (573) 348-2745.

Contact Information

Primary practice address
1057 Medical Park Dr Suite A Osage Beach MO 65065
Phone: (573) 348-2745
Fax: (573) 348-8279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R8G66 Missouri

Profile Details

NPI number 1477559490
LBN Legal business name Jones, Mark R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated May 5th, 2008 - about 16 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 1477559490 NPPES
Missouri MEDICAID 248084006
Missouri Other 080075910

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