Northeim, Justin Robert
Northeim, Justin Robert is an individual health care provider with primary practice located at 3535 S Interstate 35 E , Denton TX 76210-6850. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Northeim, Justin Robert can be contacted via phone (940) 384-3535.Contact Information
Primary practice address
3535 S Interstate 35 E
Denton TX 76210-6850
Phone: (940) 384-3535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 51416 | Minnesota |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | N8132 | Texas |
Profile Details
| NPI number | 1952529828 |
|---|---|
| LBN Legal business name | Northeim, Justin Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Nov 7th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952529828 | NPPES |
| Texas | Other | P00896830 | RAILROAD |
| Texas | MEDICAID | 219337701 | RAILROAD |
| Texas | MEDICAID | 219337702 | RAILROAD |
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