National Provider Identifier Database

JONATHON L FALLIS, DPM – NPI #1659391084
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JONATHON L FALLIS, DPM
1513 UNION AVE
SUITE 1400
MOBERLY, MO65270
Phone: 660-263-6677
Fax: 660-263-6688
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JONATHON L FALLIS

NPI Number 1659391084
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/20/2006
Last updated 10/19/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 2002006341
  • IL Medicaid: 061748265652701
  • MO Medicaid: 305751208
  • IL Other: P00242773 RAILROAD MEDICARE
  • MO Other: 154392 BLUE CROSS/BLUE SHEILD
  • MO Other: 5502300001 DMERC
  • MO Other: P00241817 RAILROAD MEDICARE
  • MO Other: P00242773 RAILROAD MEDICARE
Hospital affiliation n/a

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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