Hastings, Justin

Hastings, Justin is an individual health care provider with primary practice located at 3003 W Main St Ste 130 , Boise ID 83702-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Hastings, Justin can be contacted via phone (208) 342-7610.

Contact Information

Primary practice address
3003 W Main St Ste 130 Boise ID 83702-2026
Phone: (208) 342-7610
Fax: (208) 344-1799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X D-4845OS Idaho
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X M-13732 Idaho

Profile Details

NPI number 1831496843
LBN Legal business name Hastings, Justin
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2011
Last updated Apr 16th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831496843 NPPES
Idaho MEDICAID 1104248053

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