Northern, James R
Northern, James R is an individual health care provider with primary practice located at 620 E Monroe St , Mexico MO 65265-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Northern, James R can be contacted via phone (573) 581-5850.Contact Information
Primary practice address
620 E Monroe St
Mexico MO 65265-2919
Phone: (573) 581-5850
Fax: (573) 581-8185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R8A00 | Missouri |
Profile Details
| NPI number | 1801885702 |
|---|---|
| LBN Legal business name | Northern, James R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 22nd, 2010 - about 16 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 | 1801885702 | NPPES |
| Missouri | MEDICAID | 243605805 | |
| Missouri | Other | 300044909 |
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