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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215198007 | NPPES |
| Alabama | Other | 102I708313 | MEDICARE PTAN |
| Alabama | MEDICAID | 172883 | MEDICARE PTAN |
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