Christian, Justin
Christian, Justin is an individual health care provider with primary practice located at 1145 Sagamore Ave , Portsmouth NH 03801-5585. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Christian, Justin can be contacted via phone (603) 431-6703.Contact Information
Primary practice address
1145 Sagamore Ave
Portsmouth NH 03801-5585
Phone: (603) 431-6703
Fax: (603) 430-3753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | New Hampshire |
Profile Details
| NPI number | 1285404954 |
|---|---|
| LBN Legal business name | Christian, Justin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2024 |
| Last updated | Jan 4th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285404954 | NPPES |
| New Hampshire | MEDICAID | 3078870 |
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