Everson, Justin Colin
Everson, Justin Colin is an individual health care provider with primary practice located at 10755 Falls Rd Ste 160 , Lutherville MD 21093-4588. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Everson, Justin Colin can be contacted via phone (410) 583-2777.Contact Information
Primary practice address
10755 Falls Rd Ste 160
Lutherville MD 21093-4588
Phone: (410) 583-2777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | C0004855 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C0004855 | Maryland |
Profile Details
| NPI number | 1457604944 |
|---|---|
| LBN Legal business name | Everson, Justin Colin |
| Credentials | MMS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2012 |
| Last updated | Nov 28th, 2023 - about 3 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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