Jetton, Justin Keith
Jetton, Justin Keith is an individual health care provider with primary practice located at 1310 N Hearne Ave , Shreveport LA 71107-6516. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Jetton, Justin Keith can be contacted via phone (318) 676-5111.Contact Information
Primary practice address
1310 N Hearne Ave
Shreveport LA 71107-6516
Phone: (318) 676-5111
Fax: (318) 676-5137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Louisiana |
Profile Details
| NPI number | 1376306936 |
|---|---|
| LBN Legal business name | Jetton, Justin Keith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Feb 7th, 2024 - about last year |
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.
Popular Providers
-
Palmer, Barbara
3625 Youree Dr , Shreveport LA 71105-2121 -
Morris, Natalie
3625 Youree Dr , Shreveport LA 71105-2121 -
Mccallum, Terry
2818 Jody Ln , Shreveport LA 71118-2536 -
Turner, Brittany Renee
1310 N. Hearne , Shreveport LA 71107 -
Whitaker, Sterice
3625 Youree Dr , Shreveport LA 71105-2121 -
Lewis, Sharon Denise
3625 Youree Dr , Shreveport LA 71105-2121 -
Dupree, Tameka
3625 Youree Dr , Shreveport LA 71105-2121 -
Walker, Rotonya M
2525 Youree Dr , Shreveport LA 71104-3671