Mowchun, Justin Jonathan

Mowchun, Justin Jonathan is an individual health care provider with primary practice located at 1 Medical Center Dr Neurology, Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mowchun, Justin Jonathan can be contacted via phone (603) 650-5104.

Contact Information

Primary practice address
1 Medical Center Dr Neurology Lebanon NH 03756-1000
Phone: (603) 650-5104
Fax: (603) 650-6233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0420011728 Vermont
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 13876 New Hampshire
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X 13876 New Hampshire

Profile Details

NPI number 1780782912
LBN Legal business name Mowchun, Justin Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 14th, 2016 - about 9 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 1780782912 NPPES
Vermont MEDICAID 1016504
Vermont MEDICAID 3079142

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