Pendleton, Justin

Pendleton, Justin is an sole proprietor health care provider with primary practice located at 4989 N 3Rd St , Laramie WY 82072-9548. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Pendleton, Justin can be contacted via phone (307) 745-8997.

Contact Information

Primary practice address
4989 N 3Rd St Laramie WY 82072-9548
Phone: (307) 745-8997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1174867246
LBN Legal business name Pendleton, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Jan 14th, 2013 - about 13 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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