Justus, Kathy Jo

Justus, Kathy Jo is an individual health care provider with primary practice located at 2213 Cherry St , Toledo OH 43608-2603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Justus, Kathy Jo can be contacted via phone (419) 251-8015.

Contact Information

Primary practice address
2213 Cherry St Toledo OH 43608-2603
Phone: (419) 251-8015
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X NP01326 Ohio

Profile Details

NPI number 1811121965
LBN Legal business name Justus, Kathy Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2009
Last updated Mar 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811121965 NPPES
Ohio MEDICAID 2350610

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