Mulbery, Justin Scott
Mulbery, Justin Scott is an individual health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mulbery, Justin Scott can be contacted via phone (785) 239-7777.Contact Information
Primary practice address
650 Huebner Rd
Fort Riley KS 66442-4030
Phone: (785) 239-7777
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1062 | Nebraska |
Profile Details
NPI number | 1447298377 |
---|---|
LBN Legal business name | Mulbery, Justin Scott |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2006 |
Last updated | Feb 8th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447298377 | NPPES |
Nebraska | MEDICAID | 161-46-1028 |
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