Marks, Jerry L.

Marks, Jerry L. is an sole proprietor health care provider with primary practice located at 207 Creekside Office Dr , Wentzville MO 63385-3290. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marks, Jerry L. can be contacted via phone (636) 887-0914.

Contact Information

Primary practice address
207 Creekside Office Dr Wentzville MO 63385-3290
Phone: (636) 887-0914
Fax: (636) 206-2522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001120 Missouri

Profile Details

NPI number 1396721353
LBN Legal business name Marks, Jerry L.
Credentials DSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Jan 6th, 2022 - about 4 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 1396721353 NPPES
Other 1172616 HEALTHLINK
Other 143828 HEALTHLINK

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