Herndon, Justin A

Herndon, Justin A is an sole proprietor health care provider with primary practice located at 17800 Us Highway 18 , Apple Valley CA 92307-1221. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Herndon, Justin A can be contacted via phone (760) 242-6336.

Contact Information

Primary practice address
17800 Us Highway 18 Apple Valley CA 92307-1221
Phone: (760) 242-6336
Fax: (760) 946-0819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1851664312
LBN Legal business name Herndon, Justin A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2012
Last updated Feb 14th, 2012 - about 14 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.

Request for update

Popular Providers