Herod, Justin
Herod, Justin is an individual health care provider with primary practice located at 1001 W Southwest Loop 323 , Tyler TX 75701-9416. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Herod, Justin can be contacted via phone (972) 971-0956.Contact Information
Primary practice address
1001 W Southwest Loop 323
Tyler TX 75701-9416
Phone: (972) 971-0956
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Texas |
Profile Details
| NPI number | 1336715143 |
|---|---|
| LBN Legal business name | Herod, Justin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2021 |
| Last updated | Jun 2nd, 2021 - 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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