Eggleston, Justin James

Eggleston, Justin James is an individual health care provider with primary practice located at 201 State St Hamot Emergency Room, Erie PA 16550-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Eggleston, Justin James can be contacted via phone (814) 877-6139.

Contact Information

Primary practice address
201 State St Hamot Emergency Room Erie PA 16550-0002
Phone: (814) 877-6139
Fax: (814) 877-6093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS011861 Pennsylvania

Profile Details

NPI number 1790785319
LBN Legal business name Eggleston, Justin James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated May 5th, 2008 - 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 1790785319 NPPES
New York Other 02593433 NY MEDICAL ASSISTANCE
New York MEDICAID 1011365700001 NY MEDICAL ASSISTANCE
New York Other 2484753 NY MEDICAL ASSISTANCE
New York Other 410043 NY MEDICAL ASSISTANCE
New York Other 00026790801 NY MEDICAL ASSISTANCE
New York Other 7895534 NY MEDICAL ASSISTANCE
New York Other 1068837 NY MEDICAL ASSISTANCE
New York Other 1537945 NY MEDICAL ASSISTANCE
New York Other 1625163 NY MEDICAL ASSISTANCE
New York Other P00147174 NY MEDICAL ASSISTANCE
New York Other 156601 NY MEDICAL ASSISTANCE

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