Skelley, Mark J

Skelley, Mark J is an individual health care provider with primary practice located at 3126 S Jackson Ave Suite 102, Joplin MO 64804-2534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Skelley, Mark J can be contacted via phone (417) 556-3400.

Contact Information

Primary practice address
3126 S Jackson Ave Suite 102 Joplin MO 64804-2534
Phone: (417) 556-3400
Fax: (417) 556-3401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MDR7C50 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R7C50 Missouri

Profile Details

NPI number 1962479642
LBN Legal business name Skelley, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 19th, 2016 - about 8 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 1962479642 NPPES
Kansas MEDICAID 100135900A
Kansas Other 25164
Kansas MEDICAID 100175490A
Kansas MEDICAID 201844727
Kansas MEDICAID 201844743

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