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
Fax: (843) 237-5073
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891776142 NPPES
North Carolina Other P00372149 RAILROAD MEDICARE

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