Goodnight, Justin Waco

Goodnight, Justin Waco is an sole proprietor health care provider with primary practice located at 346 Maine St , Lawrence KS 66044-1393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Goodnight, Justin Waco can be contacted via phone (785) 842-4477.

Contact Information

Primary practice address
346 Maine St Lawrence KS 66044-1393
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-36339 Kansas

Profile Details

NPI number 1861719148
LBN Legal business name Goodnight, Justin Waco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2010
Last updated Apr 24th, 2014 - about 11 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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