Mckillip, Justin Wade

Mckillip, Justin Wade is an individual health care provider with primary practice located at 116 22Nd Ave S , Brookings SD 57006-2600. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mckillip, Justin Wade can be contacted via phone (605) 692-2251.

Contact Information

Primary practice address
116 22Nd Ave S Brookings SD 57006-2600
Phone: (605) 692-2251
Fax: (605) 692-2255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1133 South Dakota

Profile Details

NPI number 1407013394
LBN Legal business name Mckillip, Justin Wade
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated Jun 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407013394 NPPES
South Dakota MEDICAID 7605010

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