Justice, Heather M
Justice, Heather M is an individual health care provider with primary practice located at 315 Martin Luther King Jr Way , Tacoma WA 98405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Justice, Heather M can be contacted via phone (253) 403-1050.Contact Information
Primary practice address
315 Martin Luther King Jr Way
Tacoma WA 98405
Phone: (253) 403-1050
Fax: (626) 623-1227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 29891 | South Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD60170287 | Washington |
Profile Details
| NPI number | 1053511295 |
|---|---|
| LBN Legal business name | Justice, Heather M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Dec 2nd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053511295 | NPPES |
| Washington | MEDICAID | 2031508 | |
| Washington | MEDICAID | 298911 |
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