Justiss, Samuel Joe

Justiss, Samuel Joe is an individual health care provider with primary practice located at 4450 Sunset Dr , San Angelo TX 76901-5611. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Justiss, Samuel Joe can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
4450 Sunset Dr San Angelo TX 76901-5611
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06923 Texas

Profile Details

NPI number 1598065799
LBN Legal business name Justiss, Samuel Joe
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2010
Last updated Nov 21st, 2016 - about 8 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 1598065799 NPPES
Texas Other 838N78 BCBS
Texas MEDICAID 219693301 BCBS

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