Wells, Jack Cody

Wells, Jack Cody is an individual health care provider with primary practice located at 551 Veterans United Dr , Columbia MO 65201-8397. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wells, Jack Cody can be contacted via phone (573) 884-7733.

Contact Information

Primary practice address
551 Veterans United Dr Columbia MO 65201-8397
Phone: (573) 884-7733
Fax: (573) 882-6228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R4G70 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4G70 Missouri

Profile Details

NPI number 1629042882
LBN Legal business name Wells, Jack Cody
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 15th, 2024 - about 2 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 1629042882 NPPES
Missouri MEDICAID 209804624

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