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PROSYRE LLC NPI 1346680154


NPI Information

NPI: 1346680154
Provider Name: PROSYRE, LLC
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
1735 ELM CT
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 638-2012
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PROSYRE, LLC is a public health and general preventive medicine preventive medicine in Jefferson City, MO. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. PROSYRE, LLC NPI is 1346680154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1735 ELM CT
JEFFERSON CITY, MO
ZIP 65101-129
Phone: (573) 638-2012
Fax: (573) 761-4249

The provider's authorized official is Stanley R Horner .
The authorized official title is Owner and has the following contact phone number (573) 638-2012.

The enumeration date for this NPI number is 6/26/2013 and was last updated on 6/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine36946MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F44527MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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