Justice, Jason Robert

Justice, Jason Robert is an individual health care provider with primary practice located at 2240 Remount Rd , Gastonia NC 28054-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Justice, Jason Robert can be contacted via phone (704) 671-5344.

Contact Information

Primary practice address
2240 Remount Rd Gastonia NC 28054-4725
Phone: (704) 671-5344
Fax: (704) 671-5331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 200301480 North Carolina

Profile Details

NPI number 1245209881
LBN Legal business name Justice, Jason Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 13th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245209881 NPPES
North Carolina MEDICAID 5903752
North Carolina MEDICAID N0148A

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