Hallock, Justin David

Hallock, Justin David is an individual health care provider with primary practice located at 1103 16Th Ave Se , Decatur AL 35601-3595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hallock, Justin David can be contacted via phone (256) 350-0362.

Contact Information

Primary practice address
1103 16Th Ave Se Decatur AL 35601-3595
Phone: (256) 350-0362
Fax: (256) 350-0363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 38103 Alabama

Profile Details

NPI number 1841633187
LBN Legal business name Hallock, Justin David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2013
Last updated Aug 6th, 2019 - about 6 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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