Justus, Michael Andy

Justus, Michael Andy is an individual health care provider with primary practice located at 2900 Hawkins Dr , Searcy AR 72143-4802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Justus, Michael Andy can be contacted via phone (501) 278-2800.

Contact Information

Primary practice address
2900 Hawkins Dr Searcy AR 72143-4802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA0000001589 Tennessee

Profile Details

NPI number 1538330220
LBN Legal business name Justus, Michael Andy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Feb 13th, 2015 - about 10 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 1538330220 NPPES
Other 1081760 NCCPA

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