Lodge, Justin Robert
Lodge, Justin Robert is an individual health care provider with primary practice located at 8805 N Main St Ste 110, Dayton OH 45415-1333. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Lodge, Justin Robert can be contacted via phone (937) 204-1877.Contact Information
Primary practice address
8805 N Main St Ste 110
Dayton OH 45415-1333
Phone: (937) 204-1877
Fax: (937) 204-1878
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 25667 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 014355 | Ohio |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT014355 | Ohio |
Profile Details
NPI number | 1922311851 |
---|---|
LBN Legal business name | Lodge, Justin Robert |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2010 |
Last updated | May 2nd, 2017 - about 8 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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