Perdue, Justin G
Perdue, Justin G is an individual health care provider with primary practice located at 4076 Neely Rd, Bassett Army Community Hospital Usa Meddac-Ak Attn: Mcuc-Mmd-Qm (Credentials), Fort Wainwright AK 99703-7440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perdue, Justin G can be contacted via phone (423) 483-9293.Contact Information
Primary practice address
4076 Neely Rd, Bassett Army Community Hospital Usa Meddac-Ak Attn: Mcuc-Mmd-Qm (Credentials)
Fort Wainwright AK 99703-7440
Phone: (423) 483-9293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 61988 | Tennessee |
Profile Details
| NPI number | 1336709989 |
|---|---|
| LBN Legal business name | Perdue, Justin G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2019 |
| Last updated | Aug 29th, 2022 - about 3 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 | 1336709989 | NPPES |
| Tennessee | Other | 61988 | TN STATE LICENSE |
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