Mark J Jarek
Rheumatology
121 Cahill Rd
Branson
, Missouri 65616-2036
Mark J Jarek
Rheumatology
121 Cahill Rd
Branson
, Missouri 65616-2036
(417) 348-8254
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Mark J Jarek
- Po Box 770
- Branson, MO
- Zip : 65615-0770
- Phone : (417) 348-8254
Second Address
- Mark J Jarek
- 121 Cahill Rd
- Branson, MO
- Zip : 65616-2036
- Phone : (417) 348-8254
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 114482 | MO |
National Provider Identifier
| NPI | 1013955541 |
|---|---|
| Provider Name | Mark J Jarek |
| First Address | Branson, MO 65615-0770 |
| Second Address | Branson, MO 65616-2036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2006 |
| Last Update Date | 12/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 113750 | BLUE CROSS/BLUE SHIELD (01) | |
| 203834205 | (05) | MO |
| G76201 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.