Marcellus, Peter R

Marcellus, Peter R is an individual health care provider with primary practice located at 1150 State Highway 248 Ste, 202, Branson MO 65616-3758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marcellus, Peter R can be contacted via phone (417) 335-7000.

Contact Information

Primary practice address
1150 State Highway 248 Ste, 202 Branson MO 65616-3758
Phone: (417) 335-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3E69 Missouri

Profile Details

NPI number 1629013966
LBN Legal business name Marcellus, Peter R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 12th, 2012 - about 13 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 1629013966 NPPES
Other 080110697 RAILROAD MEDICARE
MEDICAID 202071965 RAILROAD MEDICARE
Other 1667 RAILROAD MEDICARE
Other 8068 RAILROAD MEDICARE
Other P00237019 RAILROAD MEDICARE
Other 1107752 RAILROAD MEDICARE

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