Daigre, Justin L

Daigre, Justin L is an individual health care provider with primary practice located at 1103 16Th Ave Se , Decatur AL 35601-3595. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Daigre, Justin L can be contacted via phone (256) 350-0362.

Contact Information

Primary practice address
1103 16Th Ave Se Decatur AL 35601-3595
Phone: (256) 350-0362
Fax: (256) 355-9779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24565 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X R9794 Alabama
Other Service Providers / Specialist 174400000X 24565 West Virginia
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 35.123634 Ohio
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 34176 Alabama

Profile Details

NPI number 1215198007
LBN Legal business name Daigre, Justin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Oct 13th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215198007 NPPES
Alabama Other 102I708313 MEDICARE PTAN
Alabama MEDICAID 172883 MEDICARE PTAN

Popular Providers