Steward, Justin

Steward, Justin is an individual health care provider with primary practice located at 2901 4Th St , Longview TX 75605-5128. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Steward, Justin can be contacted via phone (903) 758-1818.

Contact Information

Primary practice address
2901 4Th St Longview TX 75605-5128
Phone: (903) 758-1818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 740497 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704405482 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP122586 Texas

Profile Details

NPI number 1619221934
LBN Legal business name Steward, Justin
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2012
Last updated Mar 25th, 2024 - about 9 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 1619221934 NPPES
Texas MEDICAID 329656803

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