Michael, Justin

Michael, Justin is an individual health care provider with primary practice located at 701 N 1St St Ste D-319 , Springfield IL 62702-3757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Michael, Justin can be contacted via phone (217) 545-8863.

Contact Information

Primary practice address
701 N 1St St Ste D-319 Springfield IL 62702-3757
Phone: (217) 545-8863
Fax: (217) 545-9752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 125075943 Illinois

Profile Details

NPI number 1871114371
LBN Legal business name Michael, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2020
Last updated May 6th, 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.

Request for update

Popular Providers