Fantazier, Justin

Fantazier, Justin is an individual health care provider with primary practice located at 1133 Culbert Dr , Marion VA 24354-4211. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Fantazier, Justin can be contacted via phone (276) 706-6707.

Contact Information

Primary practice address
1133 Culbert Dr Marion VA 24354-4211
Phone: (276) 706-6707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 001231585 Virginia

Profile Details

NPI number 1568915312
LBN Legal business name Fantazier, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2016
Last updated Jul 28th, 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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