Imhof, Justin
Imhof, Justin is an individual health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Imhof, Justin can be contacted via phone (573) 231-3871.Contact Information
Primary practice address
100 Medical Dr
Hannibal MO 63401-6877
Phone: (573) 231-3871
Fax: (573) 231-3707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 2011001466 | Missouri |
Profile Details
| NPI number | 1225066509 |
|---|---|
| LBN Legal business name | Imhof, Justin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jun 4th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225066509 | NPPES |
| Missouri | MEDICAID | 1225066509 |
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