Jay, Derek Justice

Jay, Derek Justice is an individual health care provider with primary practice located at 03920 Southland Rd , New Bremen OH 45869-9790. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Jay, Derek Justice can be contacted via phone (419) 629-2772.

Contact Information

Primary practice address

03920 Southland Rd New Bremen OH 45869-9790

Phone: (419) 629-2772

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Medical-Surgical	163WM0705X	494801	Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family	363LF0000X	0036746	Ohio

Profile Details

NPI number	1427819721
LBN Legal business name	Jay, Derek Justice
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 23rd, 2024
Last updated	Jun 18th, 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.

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