Rich, Justin B.

Rich, Justin B. is an individual health care provider with primary practice located at 2000 Mirror Lake Blvd Suite S, Villa Rica GA 30180-2124. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rich, Justin B. can be contacted via phone (770) 456-7877.

Contact Information

Primary practice address
2000 Mirror Lake Blvd Suite S Villa Rica GA 30180-2124
Phone: (770) 456-7877
Fax: (770) 456-7880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008081 Georgia

Profile Details

NPI number 1699743211
LBN Legal business name Rich, Justin B.
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 6th, 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 1699743211 NPPES
Georgia MEDICAID 205150275

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