Juarez, Mayrol Guillermo
Juarez, Mayrol Guillermo is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Juarez, Mayrol Guillermo can be contacted via phone (417) 820-5400.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 820-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2011036423 | Missouri |
Profile Details
| NPI number | 1447440656 |
|---|---|
| LBN Legal business name | Juarez, Mayrol Guillermo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Nov 8th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447440656 | NPPES |
| Missouri | Other | P01213214 | RR MCR |
| Missouri | MEDICAID | 198987001 | RR MCR |
| Missouri | MEDICAID | 1447440656 | RR MCR |
| Missouri | Other | 431560263 | RR MCR |
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