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Contact Information

JONATHON FALLIS DPM LLC
1513 UNION AVE
SUITE 1400
MOBERLY, MO65270
 Phone: 660-263-6688
 Fax: 660-263-6688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JONATHON FALLIS DPM LLC · (Female)

NPI Number 1154341592
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016004851
  • MO License # 2002006341
  • MO Other 154392 BCBS
  • MO Other 5502300001 MEDICARE DMERC
  • MO Other P0038451 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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