Drew, Justin John
Drew, Justin John is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Drew, Justin John can be contacted via phone (843) 237-3378.Contact Information
Primary practice address
3000 New Bern Ave
Raleigh NC 27610-1231
Phone: (843) 237-3378
Fax: (843) 237-5073
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 104024 | North Carolina |
Profile Details
NPI number | 1891776142 |
---|---|
LBN Legal business name | Drew, Justin John |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 11th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891776142 | NPPES |
North Carolina | Other | P00372149 | RAILROAD MEDICARE |
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