Mabe, Jeremy D

Mabe, Jeremy D 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. Mabe, Jeremy D can be contacted via phone (417) 348-8964.

Contact Information

Primary practice address
1150 State Highway 248 Ste. 202 Branson MO 65616-3758
Phone: (417) 348-8964
Fax: (417) 336-0275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000154576 Missouri

Profile Details

NPI number 1053355206
LBN Legal business name Mabe, Jeremy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 24th, 2014 - about 12 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 1053355206 NPPES
Missouri MEDICAID 205804610
Missouri Other 080174333
Missouri Other 14189
Missouri Other 144172
Missouri MEDICAID 208887414
Missouri Other 462206

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