Rodebaugh, Justin Matthew

Rodebaugh, Justin Matthew is an individual health care provider with primary practice located at 600 Gresham Dr , Norfolk VA 23507-1904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rodebaugh, Justin Matthew can be contacted via phone (440) 596-2138.

Contact Information

Primary practice address
600 Gresham Dr Norfolk VA 23507-1904
Phone: (440) 596-2138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301118943 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116030112 Virginia

Profile Details

NPI number 1487826392
LBN Legal business name Rodebaugh, Justin Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Sep 16th, 2019 - 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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