Bishop, Jeffrey Mark
Bishop, Jeffrey Mark is an sole proprietor health care provider with primary practice located at 750 S Military Trl Ste D&E , West Palm Beach FL 33415-3963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bishop, Jeffrey Mark can be contacted via phone (561) 560-2603.Contact Information
Primary practice address
750 S Military Trl Ste D&E
West Palm Beach FL 33415-3963
Phone: (561) 560-2603
Fax: (561) 560-2604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS0005102 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40316 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS5102 | Florida |
Profile Details
| NPI number | 1235192659 |
|---|---|
| LBN Legal business name | Bishop, Jeffrey Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Sep 30th, 2022 - about 3 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 | 1235192659 | NPPES |
| Other | 003534 | NHP | |
| Other | 102250 | NHP | |
| MEDICAID | 044080900 | NHP | |
| Other | 1685824 | NHP | |
| Other | 208915 | NHP | |
| Other | 4201051 | NHP | |
| Other | 28745 | NHP | |
| Other | D60746 | NHP |
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