Degooyer, Justin Richard

Degooyer, Justin Richard is an individual health care provider with primary practice located at 4401 Harrison Blvd , Ogden UT 84403-3195. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Degooyer, Justin Richard can be contacted via phone (385) 259-2714.

Contact Information

Primary practice address
4401 Harrison Blvd Ogden UT 84403-3195
Phone: (385) 259-2714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 9421639-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9421639-4405 Utah

Profile Details

NPI number 1578172904
LBN Legal business name Degooyer, Justin Richard
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2020
Last updated Aug 28th, 2020 - about 4 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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