Finyom, Justin
Finyom, Justin is an sole proprietor health care provider with primary practice located at 5002 E 23Rd St , Tucson AZ 85711-4916. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Finyom, Justin can be contacted via phone (520) 203-7784.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH-2515 | Arizona |
Profile Details
| NPI number | 1467527887 |
|---|---|
| LBN Legal business name | Finyom, Justin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467527887 | NPPES |
| Arizona | MEDICAID | 921511 |
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