Ellerbroek, Justin Craig

Ellerbroek, Justin Craig is an individual health care provider with primary practice located at 3741 Pheasant Ln , Waterloo IA 50701-5215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Ellerbroek, Justin Craig can be contacted via phone (319) 234-6000.

Contact Information

Primary practice address
3741 Pheasant Ln Waterloo IA 50701-5215
Phone: (319) 234-6000
Fax: (319) 234-6001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 38816 Iowa
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 38816 Iowa

Profile Details

NPI number 1790981207
LBN Legal business name Ellerbroek, Justin Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Jun 13th, 2024 - about 5 months 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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