Floyd, Justin D

Floyd, Justin D is an individual health care provider with primary practice located at 321 Regency Park Ste 100 , O Fallon IL 62269-1887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Floyd, Justin D can be contacted via phone (618) 416-7970.

Contact Information

Primary practice address
321 Regency Park Ste 100 O Fallon IL 62269-1887
Phone: (618) 416-7970
Fax: (618) 416-7971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 2001014924 Missouri
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036112641 Illinois

Profile Details

NPI number 1629164678
LBN Legal business name Floyd, Justin D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Dec 8th, 2023 - about last year

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 1629164678 NPPES
Illinois MEDICAID 036112641

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