Morgan, Justin Matthew

Morgan, Justin Matthew is an individual health care provider with primary practice located at 9880 Angies Way Ste 400 , Louisville KY 40241-2850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Morgan, Justin Matthew can be contacted via phone (502) 394-6500.

Contact Information

Primary practice address
9880 Angies Way Ste 400 Louisville KY 40241-2850
Fax: (502) 394-1920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43169 Kentucky

Profile Details

NPI number 1780703769
LBN Legal business name Morgan, Justin Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jan 20th, 2021 - 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 1780703769 NPPES
Kentucky MEDICAID 7100128140
Kentucky Other 000000655855

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