Allphin, Justin R

Allphin, Justin R is an individual health care provider with primary practice located at 3050 E River Bluff Blvd , Ozark MO 65721-8807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Allphin, Justin R can be contacted via phone (417) 820-5610.

Contact Information

Primary practice address
3050 E River Bluff Blvd Ozark MO 65721-8807
Phone: (417) 820-5610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-005215 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2016016570 Missouri

Profile Details

NPI number 1528461621
LBN Legal business name Allphin, Justin R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2014
Last updated Jun 16th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528461621 NPPES
Missouri MEDICAID PENDING

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