Harrell, Justin Mark

Harrell, Justin Mark is an individual health care provider with primary practice located at 80 Vermont Ave , Oak Ridge TN 37830-6474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Harrell, Justin Mark can be contacted via phone (865) 482-4078.

Contact Information

Primary practice address
80 Vermont Ave Oak Ridge TN 37830-6474
Phone: (865) 482-4078
Fax: (859) 323-1197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4808 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4808 Tennessee

Profile Details

NPI number 1346744323
LBN Legal business name Harrell, Justin Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated May 16th, 2024 - 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 1346744323 NPPES
Tennessee MEDICAID Q067230

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