Phillips, Justin Jerome

Phillips, Justin Jerome is an sole proprietor health care provider with primary practice located at 4021 Laclede Ave # 23211 , Saint Louis MO 63108-3271. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Phillips, Justin Jerome can be contacted via phone (313) 724-2669.

Contact Information

Primary practice address
4021 Laclede Ave # 23211 Saint Louis MO 63108-3271
Phone: (313) 724-2669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1891326559
LBN Legal business name Phillips, Justin Jerome
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2020
Last updated Jan 31st, 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.

Request for update

Popular Providers