Joseph, Gregory Justin

Joseph, Gregory Justin is an individual health care provider with primary practice located at 3623 Latrobe Dr Suite 216, Charlotte NC 28211. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Joseph, Gregory Justin can be contacted via phone (704) 332-1291.

Contact Information

Primary practice address
3623 Latrobe Dr Suite 216 Charlotte NC 28211
Phone: (704) 332-1291
Fax: (704) 332-5206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 9901554 North Carolina
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 22332 South Carolina
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 9901554 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 9901554 North Carolina

Profile Details

NPI number 1114994852
LBN Legal business name Joseph, Gregory Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Sep 12th, 2020 - about 4 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 1114994852 NPPES
North Carolina MEDICAID 891233U

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