Spaulding, Justin Matthew

Spaulding, Justin Matthew is an individual health care provider with primary practice located at 1408 E Barnett Rd , Medford OR 97504-8279. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Spaulding, Justin Matthew can be contacted via phone (541) 779-2020.

Contact Information

Primary practice address
1408 E Barnett Rd Medford OR 97504-8279
Phone: (541) 779-2020
Fax: (541) 770-6838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DO186862 Oregon
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 6124 Oklahoma
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X DO186862 Oregon

Profile Details

NPI number 1013259167
LBN Legal business name Spaulding, Justin Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Sep 18th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013259167 NPPES
Oregon MEDICAID 500743468

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