Hadaller, Justin

Hadaller, Justin is an individual health care provider with primary practice located at 475 Bruce St , Yreka CA 96097-3474. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hadaller, Justin can be contacted via phone (530) 842-4121.

Contact Information

Primary practice address
475 Bruce St Yreka CA 96097-3474
Phone: (530) 842-4121
Fax: (530) 841-0913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60494109 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA171878 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60906 California

Profile Details

NPI number 1134521909
LBN Legal business name Hadaller, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated Apr 12th, 2022 - about 4 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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