Perish, Justin Clive
Perish, Justin Clive is an sole proprietor health care provider with primary practice located at 821 South Main Street Suite 100, Winnsboro TX 75494. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Perish, Justin Clive can be contacted via phone (903) 342-5261.Contact Information
Primary practice address
821 South Main Street Suite 100
Winnsboro TX 75494
Phone: (903) 342-5261
Fax: (903) 342-5661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC5689 | Texas |
Profile Details
| NPI number | 1861493694 |
|---|---|
| LBN Legal business name | Perish, Justin Clive |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861493694 | NPPES |
| Texas | Other | 603456 | BCBS-TX |
| Texas | MEDICAID | 0811077-01 | BCBS-TX |
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