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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447298377 NPPES
Nebraska MEDICAID 161-46-1028

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