Wentworth, Justin Ray

Wentworth, Justin Ray is an individual health care provider with primary practice located at 8775 Norwin Ave , North Huntingdon PA 15642-2718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wentworth, Justin Ray can be contacted via phone (724) 850-6933.

Contact Information

Primary practice address
8775 Norwin Ave North Huntingdon PA 15642-2718
Phone: (724) 850-6933
Fax: (724) 832-4297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS014539 Pennsylvania

Profile Details

NPI number 1881861326
LBN Legal business name Wentworth, Justin Ray
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Jan 17th, 2017 - about 7 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 1881861326 NPPES
Pennsylvania MEDICAID 102699705

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