Rivera, Justin Jose
Rivera, Justin Jose is an sole proprietor health care provider with primary practice located at 104 Margaret Ln Ste A , Grass Valley CA 95945-5261. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Rivera, Justin Jose can be contacted via phone (530) 648-1234.Contact Information
Primary practice address
104 Margaret Ln Ste A
Grass Valley CA 95945-5261
Phone: (530) 648-1234
Fax: (530) 648-1235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E5546 | California |
Profile Details
| NPI number | 1073960522 |
|---|---|
| LBN Legal business name | Rivera, Justin Jose |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2016 |
| Last updated | Nov 26th, 2019 - about 7 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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