Herman, Justin Dwain

Herman, Justin Dwain is an individual health care provider with primary practice located at 926 N Westwood Blvd , Poplar Bluff MO 63901-4242. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Herman, Justin Dwain can be contacted via phone (573) 778-0501.

Contact Information

Primary practice address
926 N Westwood Blvd Poplar Bluff MO 63901-4242
Phone: (573) 778-0501
Fax: (573) 727-9411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2010008593 Missouri

Profile Details

NPI number 1124343595
LBN Legal business name Herman, Justin Dwain
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Mar 29th, 2010 - about 15 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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