Asbury, Justin E

Asbury, Justin E is an individual health care provider with primary practice located at 509 Olde Waterford Way Ste 200 , Leland NC 28451-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Asbury, Justin E can be contacted via phone (910) 408-1130.

Contact Information

Primary practice address
509 Olde Waterford Way Ste 200 Leland NC 28451-4126
Phone: (910) 408-1130
Fax: (910) 408-1135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 201401070 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0116020621 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO0000002240 Tennessee

Profile Details

NPI number 1033370192
LBN Legal business name Asbury, Justin E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2008
Last updated Oct 25th, 2020 - about 6 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 1033370192 NPPES
Tennessee MEDICAID 1526786
Tennessee Other 4309333

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