Daniels, Justin Blake
Daniels, Justin Blake is an sole proprietor health care provider with primary practice located at 103 Brighton Ln Apt/Suite, Ridgeland MS 39157-8775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Daniels, Justin Blake can be contacted via phone (601) 421-9943.Contact Information
Primary practice address
103 Brighton Ln Apt/Suite
Ridgeland MS 39157-8775
Phone: (601) 421-9943
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | T-2302 | Mississippi |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 21838 | Mississippi |
Profile Details
| NPI number | 1013228329 |
|---|---|
| LBN Legal business name | Daniels, Justin Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2010 |
| Last updated | Jun 23rd, 2013 - about 11 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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