Davis, Justin

Davis, Justin is an individual health care provider with primary practice located at 747 N Rutledge St , Springfield IL 62702-6700. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Davis, Justin can be contacted via phone (217) 545-6112.

Contact Information

Primary practice address
747 N Rutledge St Springfield IL 62702-6700
Phone: (217) 545-6112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 125.077838 Illinois

Profile Details

NPI number 1437714375
LBN Legal business name Davis, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2019
Last updated Jun 27th, 2021 - about 3 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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