White, Justin Shay

White, Justin Shay is an individual health care provider with primary practice located at 1910 Malvern Ave , Hot Springs AR 71901-7752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. White, Justin Shay can be contacted via phone (501) 620-2720.

Contact Information

Primary practice address
1910 Malvern Ave Hot Springs AR 71901-7752
Phone: (501) 620-2720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-4051 Arkansas

Profile Details

NPI number 1396783189
LBN Legal business name White, Justin Shay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 28th, 2009 - about 15 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 1396783189 NPPES
Arkansas MEDICAID 157898001
Arkansas Other 5N229
Arkansas Other P00297273

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