Lancaster, Justin Ray

Lancaster, Justin Ray is an individual health care provider with primary practice located at 5301 Bainbridge Ave , Gulfport MS 39501-9026. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Lancaster, Justin Ray can be contacted via phone (228) 871-4158.

Contact Information

Primary practice address
5301 Bainbridge Ave Gulfport MS 39501-9026
Phone: (228) 871-4158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1073831376
LBN Legal business name Lancaster, Justin Ray
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2010
Last updated May 11th, 2010 - about 14 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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