Ward, Justin Alan

Ward, Justin Alan is an individual health care provider with primary practice located at 4343 Pan American Fwy Ne Ste 234 , Albuquerque NM 87107. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Ward, Justin Alan can be contacted via phone (505) 880-1000.

Contact Information

Primary practice address
4343 Pan American Fwy Ne Ste 234 Albuquerque NM 87107
Phone: (505) 880-1000
Fax: (505) 880-1002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X T1240 New Mexico
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X T1240 New Mexico

Profile Details

NPI number 1548515521
LBN Legal business name Ward, Justin Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Jul 5th, 2018 - about 6 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 1548515521 NPPES
New Mexico MEDICAID 28855035

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