Daugherty, Justin Benton

Daugherty, Justin Benton is an sole proprietor health care provider with primary practice located at 3124 Salmon St , San Diego CA 92124-3605. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Daugherty, Justin Benton can be contacted via phone (402) 699-7774.

Contact Information

Primary practice address
3124 Salmon St San Diego CA 92124-3605
Phone: (402) 699-7774
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1992100911
LBN Legal business name Daugherty, Justin Benton
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2014
Last updated Nov 3rd, 2014 - 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.

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