Kierbs, Justin William

Kierbs, Justin William is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Kierbs, Justin William can be contacted via phone (217) 422-6100.

Contact Information

Primary practice address
1800 E Lake Shore Dr Decatur IL 62521-3810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 209.008969 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209008969 Illinois

Profile Details

NPI number 1841579026
LBN Legal business name Kierbs, Justin William
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Dec 23rd, 2021 - about 3 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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