Egoville, Justin

Egoville, Justin is an individual health care provider with primary practice located at 80001 State Rd. Mhm Correctional Services, Mod Ii, Philadelphia PA 19136-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Egoville, Justin can be contacted via phone (215) 624-0797.

Contact Information

Primary practice address
80001 State Rd. Mhm Correctional Services, Mod Ii Philadelphia PA 19136-0000
Phone: (215) 624-0797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP011762 Pennsylvania

Profile Details

NPI number 1336410851
LBN Legal business name Egoville, Justin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - about 12 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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