Kierbs, Justin William
Kierbs, Justin William is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Kierbs, Justin William can be contacted via phone (217) 422-6100.Contact Information
Primary practice address
1800 E Lake Shore Dr
Decatur IL 62521-3810
Phone: (217) 422-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 209.008969 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209008969 | Illinois |
Profile Details
| NPI number | 1841579026 |
|---|---|
| LBN Legal business name | Kierbs, Justin William |
| Credentials | ACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2011 |
| Last updated | Dec 23rd, 2021 - about 5 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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