Wortman, Justin
Wortman, Justin is an sole proprietor health care provider with primary practice located at 58945 Business Center Dr #D, Yucca Valley CA 92284-7307. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wortman, Justin can be contacted via phone (760) 228-9657.Contact Information
Primary practice address
58945 Business Center Dr #D
Yucca Valley CA 92284-7307
Phone: (760) 228-9657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PCCI1586 | California |
Profile Details
| NPI number | 1316377732 |
|---|---|
| LBN Legal business name | Wortman, Justin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2013 |
| Last updated | Jan 28th, 2015 - about 9 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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