Scaffa, Justin

Scaffa, Justin is an sole proprietor health care provider with primary practice located at 5524 Bee Caves Rd Ste H2 , West Lake Hills TX 78746-5246. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Scaffa, Justin can be contacted via phone (512) 710-0551.

Contact Information

Primary practice address
5524 Bee Caves Rd Ste H2 West Lake Hills TX 78746-5246
Phone: (512) 710-0551
Fax: (512) 717-6337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP128328 Texas

Profile Details

NPI number 1386026995
LBN Legal business name Scaffa, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2015
Last updated Jan 9th, 2024 - about 11 months 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 1386026995 NPPES
Texas MEDICAID 351351706

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