Jeffries, Mark S

Jeffries, Mark S is an individual health care provider with primary practice located at 7740 Washington Village Dr Suite 120, Centerville OH 45459-4056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jeffries, Mark S can be contacted via phone (937) 433-8020.

Contact Information

Primary practice address
7740 Washington Village Dr Suite 120 Centerville OH 45459-4056
Phone: (937) 433-8020
Fax: (937) 433-8030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34006895 Ohio

Profile Details

NPI number 1568458040
LBN Legal business name Jeffries, Mark S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568458040 NPPES
Ohio Other 000000695157 ANTHEM BCBS
Ohio MEDICAID 2081938 ANTHEM BCBS

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