Northcutt, Justin L
Northcutt, Justin L is an individual health care provider with primary practice located at 8 Doctors Park Rd , Mount Vernon IL 62864-6224. 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. Northcutt, Justin L can be contacted via phone (618) 244-5500.Contact Information
Primary practice address
8 Doctors Park Rd
Mount Vernon IL 62864-6224
Phone: (618) 244-5500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085007547 | Illinois |
Profile Details
NPI number | 1194351668 |
---|---|
LBN Legal business name | Northcutt, Justin L |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2020 |
Last updated | Mar 17th, 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.
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