Mace, John Charles
Mace, John Charles is an individual health care provider with primary practice located at 3801 S National Ave West Tower, Suite 700, Springfield MO 65807-5210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mace, John Charles can be contacted via phone (417) 885-3888.Contact Information
Primary practice address
3801 S National Ave West Tower, Suite 700
Springfield MO 65807-5210
Phone: (417) 885-3888
Fax: (417) 881-7638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | E3602 | Arkansas |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 118061 | Missouri |
Profile Details
| NPI number | 1114971264 |
|---|---|
| LBN Legal business name | Mace, John Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Sep 30th, 2021 - about 4 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 | 1114971264 | NPPES |
| Arkansas | Other | 5M988 | ARKANSAS BC/BS |
| Arkansas | Other | 18942 | ARKANSAS BC/BS |
| Arkansas | MEDICAID | 203985700 | ARKANSAS BC/BS |
| Arkansas | Other | 5M988 | ARKANSAS BC/BS |
| Arkansas | Other | 04040017000 | ARKANSAS BC/BS |
| Arkansas | Other | 0215049 | ARKANSAS BC/BS |
| Arkansas | Other | 119340 | ARKANSAS BC/BS |
| Arkansas | Other | 0156395001 | ARKANSAS BC/BS |
| Arkansas | MEDICAID | 139629001 | ARKANSAS BC/BS |
| Arkansas | Other | 4188130001 | ARKANSAS BC/BS |
| Arkansas | Other | 0602002 | ARKANSAS BC/BS |
| Arkansas | Other | 412307 | ARKANSAS BC/BS |
| Arkansas | Other | 5M988 | ARKANSAS BC/BS |
| Arkansas | Other | G93208 | ARKANSAS BC/BS |
| Arkansas | Other | 7623 | ARKANSAS BC/BS |
Popular Providers
-
Workman, Michael J
2900 S National Ave , Springfield MO 65804-3634 -
Scarrow, Alan M.
1965 S Fremont Ave Ste 130 , Springfield MO 65804-2252 -
Strang, Robert D
3801 S National Ave West Tower, Suite 700, Springfield MO 65807-5210 -
Lee, Sunghoon
1229 E Seminole St Suite 220, Springfield MO 65804-2227 -
Coger, Brenton Raval
1229 E Seminole St Suite 220, Springfield MO 65804-2227 -
Fulbright, Thomas D.
2900 S National Ave , Springfield MO 65804-3634 -
Khoshyomn, Sami
1965 S Fremont Ave Suite 130, Springfield MO 65804-2201 -
Rahman, Salim
3801 S National Ave West Tower, Suite 700, Springfield MO 65807-5210