Justice, Phillip E

Justice, Phillip E is an individual health care provider with primary practice located at 1700 Pinebrook Dr Ste. 2, Kingsport TN 37660-4365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Justice, Phillip E can be contacted via phone (423) 245-3170.

Contact Information

Primary practice address
1700 Pinebrook Dr Ste. 2 Kingsport TN 37660-4365
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2369 Tennessee

Profile Details

NPI number 1700015773
LBN Legal business name Justice, Phillip E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2009
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700015773 NPPES
Tennessee MEDICAID 1528770

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