Bordeaux, Justin Wayne
Bordeaux, Justin Wayne is an individual health care provider with primary practice located at 700 Us 1 Hwy Ste 100 , Youngsville NC 27596-7873. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bordeaux, Justin Wayne can be contacted via phone (919) 562-2340.Contact Information
Primary practice address
700 Us 1 Hwy Ste 100
Youngsville NC 27596-7873
Phone: (919) 562-2340
Fax: (919) 562-2315
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-04057 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-04057 | North Carolina |
Profile Details
NPI number | 1366780033 |
---|---|
LBN Legal business name | Bordeaux, Justin Wayne |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2013 |
Last updated | May 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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