Wine, Justin Ronald

Wine, Justin Ronald is an individual health care provider with primary practice located at 1540 Spring Valley Dr , Huntington WV 25704-9501. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Religious Nonmedical Practitioner, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Wine, Justin Ronald can be contacted via phone (304) 429-6741.

Contact Information

Primary practice address
1540 Spring Valley Dr Huntington WV 25704-9501
Phone: (304) 429-6741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1578245585
LBN Legal business name Wine, Justin Ronald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2023
Last updated Aug 1st, 2023 - about last year

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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