Garrison, Justin

Garrison, Justin is an individual health care provider with primary practice located at 9 Washington Ave Ste 3A , Hamden CT 06518-3267. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Garrison, Justin can be contacted via phone (475) 227-3614.

Contact Information

Primary practice address
9 Washington Ave Ste 3A Hamden CT 06518-3267
Phone: (475) 227-3614
Fax: (844) 219-8679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA08298 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5259 Connecticut

Profile Details

NPI number 1578800819
LBN Legal business name Garrison, Justin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2013
Last updated Jul 26th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578800819 NPPES
Texas Other 8024NA BCBS
Texas MEDICAID 316913801 BCBS

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