Padilla, Jose S

Padilla, Jose S is an individual health care provider with primary practice located at 120 Hospital Dr Suite 200, Lebanon MO 65536-9238. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Padilla, Jose S can be contacted via phone (417) 533-6780.

Contact Information

Primary practice address
120 Hospital Dr Suite 200 Lebanon MO 65536-9238
Phone: (417) 533-6780
Fax: (417) 533-6789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X N-8118 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X N8118 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 2015008157 Missouri

Profile Details

NPI number 1265449755
LBN Legal business name Padilla, Jose S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 31st, 2015 - about 10 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 1265449755 NPPES
Missouri MEDICAID PENDING
Missouri MEDICAID 120084001

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