Monroe, Justin

Monroe, Justin is an individual health care provider with primary practice located at 6029 Walnut Grove Rd Suite 404, Memphis TN 38120-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Monroe, Justin can be contacted via phone (901) 726-1056.

Contact Information

Primary practice address
6029 Walnut Grove Rd Suite 404 Memphis TN 38120-2112
Phone: (901) 726-1056
Fax: (901) 726-5867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38516 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 38516 Tennessee

Profile Details

NPI number 1760592935
LBN Legal business name Monroe, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760592935 NPPES
Tennessee Other P00207461 RAILROAD MEDICARE
Tennessee MEDICAID 3893973 RAILROAD MEDICARE

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