Kelley, Justin
Kelley, Justin is an sole proprietor health care provider with primary practice located at 1401 Bone Creek Dr , Sandusky OH 44870-7267. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kelley, Justin can be contacted via phone (419) 625-4900.Contact Information
Primary practice address
1401 Bone Creek Dr
Sandusky OH 44870-7267
Phone: (419) 625-4900
Fax: (419) 627-9768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 34.014089 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34.014089 | Ohio |
Profile Details
| NPI number | 1205256187 |
|---|---|
| LBN Legal business name | Kelley, Justin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2014 |
| Last updated | Aug 21st, 2020 - about 4 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 | 1205256187 | NPPES |
| Ohio | MEDICAID | 0381932 | |
| Ohio | Other | 34.014089 |
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