Lapollo, Justin

Lapollo, Justin is an individual health care provider with primary practice located at 2211 E Broadway Ave , Maryville TN 37804-3078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lapollo, Justin can be contacted via phone (865) 269-7582.

Contact Information

Primary practice address
2211 E Broadway Ave Maryville TN 37804-3078
Phone: (865) 269-7582
Fax: (865) 233-9046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2667 Tennessee

Profile Details

NPI number 1811124340
LBN Legal business name Lapollo, Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Jul 24th, 2023 - about last year

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 1811124340 NPPES
Tennessee MEDICAID Q066264

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