Douglas, Justin Wayne

Douglas, Justin Wayne is an individual health care provider with primary practice located at 1256 N Eisenhower Dr , Beckley WV 25801-3120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Douglas, Justin Wayne can be contacted via phone (304) 254-2641.

Contact Information

Primary practice address
1256 N Eisenhower Dr Beckley WV 25801-3120
Phone: (304) 254-2641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101263258 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 55925 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 23770 West Virginia

Profile Details

NPI number 1326210857
LBN Legal business name Douglas, Justin Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2008
Last updated Jan 7th, 2022 - 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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