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NPI Code Detail

MEDICARE: C J JOS MD

MEDICARE: C J JOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianR8157MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154386746
Entity Type Code : Individual
Provider Name (Legal Business Name) : C J JOS MD
Provider Business Mailing Address
First Line : 227 E MAIN ST
Second Line :
City : FESTUS
State : MO
Zip : 63028-1952
Country : US
Telephone Number : 636-931-2700
Fax Number : 636-931-5304
Provider Business Practice Location Address
First Line : 21 MUNICIPAL DR
Second Line :
City : ARNOLD
State : MO
Zip : 63010-1012
Country : US
Telephone Number : 636-296-6206
Fax Number : 636-296-0102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 10/01/2021

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Directions to “ C J JOS MD” Practice Location

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