Degeneffe, Justan
Degeneffe, Justan is an sole proprietor health care provider with primary practice located at 7676 Silver Baron Rd , Las Vegas NV 89179-2070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Degeneffe, Justan can be contacted via phone (702) 406-2325.Contact Information
Primary practice address
7676 Silver Baron Rd
Las Vegas NV 89179-2070
Phone: (702) 406-2325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 181456 | Nevada |
Profile Details
| NPI number | 1770132466 |
|---|---|
| LBN Legal business name | Degeneffe, Justan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2019 |
| Last updated | Sep 5th, 2019 - about 5 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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