Shortell, Justin Daniel

Shortell, Justin Daniel is an individual health care provider with primary practice located at 840 Walnut St Ste 1110 , Philadelphia PA 19107-5109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Shortell, Justin Daniel can be contacted via phone (215) 928-3197.

Contact Information

Primary practice address
840 Walnut St Ste 1110 Philadelphia PA 19107-5109
Phone: (215) 928-3197
Fax: (215) 928-0166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X MD481249 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD481249 Pennsylvania

Profile Details

NPI number 1265995492
LBN Legal business name Shortell, Justin Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2019
Last updated Jul 5th, 2023 - about 2 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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