Ewell, Justin
Ewell, Justin is an individual health care provider with primary practice located at 3501 N Butler Ave Suite 104, Farmington NM 87401-6429. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ewell, Justin can be contacted via phone (505) 564-4470.Contact Information
Primary practice address
3501 N Butler Ave Suite 104
Farmington NM 87401-6429
Phone: (505) 564-4470
Fax: (505) 325-9707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD4518 | New Mexico |
Profile Details
| NPI number | 1033568688 |
|---|---|
| LBN Legal business name | Ewell, Justin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2016 |
| Last updated | Jun 5th, 2016 - about 10 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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