Provider Demographics
NPI:1093120560
Name:FREE MARKET PHYSICIAN HOSPITAL SERVICES, LLC
Entity Type:Organization
Organization Name:FREE MARKET PHYSICIAN HOSPITAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:417-283-4953
Mailing Address - Street 1:4040 LA QUESTA DR
Mailing Address - Street 2:
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-2849
Mailing Address - Country:US
Mailing Address - Phone:417-283-4953
Mailing Address - Fax:417-283-4954
Practice Address - Street 1:4040 LA QUESTA DR
Practice Address - Street 2:
Practice Address - City:NEOSHO
Practice Address - State:MO
Practice Address - Zip Code:64850-2849
Practice Address - Country:US
Practice Address - Phone:417-283-4953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012025745207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty