Bryant, Justin R

Bryant, Justin R is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 300 , Fort Wayne IN 46845-1715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bryant, Justin R can be contacted via phone (260) 425-6960.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 300 Fort Wayne IN 46845-1715
Phone: (260) 425-6960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X DO034726 District of Columbia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 71983 Wisconsin
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 02004908A Indiana

Profile Details

NPI number 1427363449
LBN Legal business name Bryant, Justin R
Credentials DO, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2010
Last updated Oct 14th, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1427363449 NPPES
Wisconsin MEDICAID 1427363449

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