Northcutt, Justin L

Northcutt, Justin L is an individual health care provider with primary practice located at 8 Doctors Park Rd , Mount Vernon IL 62864-6224. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Northcutt, Justin L can be contacted via phone (618) 244-5500.

Contact Information

Primary practice address
8 Doctors Park Rd Mount Vernon IL 62864-6224
Phone: (618) 244-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085007547 Illinois

Profile Details

NPI number 1194351668
LBN Legal business name Northcutt, Justin L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2020
Last updated Mar 17th, 2020 - about 6 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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