Justus, Michael G

Justus, Michael G 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 Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Justus, Michael G can be contacted via phone (501) 278-2808.

Contact Information

Primary practice address
2900 Hawkins Dr Searcy AR 72143-4802
Fax: (501) 278-3001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C5414 Arkansas

Profile Details

NPI number 1134184484
LBN Legal business name Justus, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 24th, 2012 - about 12 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 1134184484 NPPES
Arkansas MEDICAID 102651001

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