Swann, Justin Forrest

Swann, Justin Forrest is an sole proprietor health care provider with primary practice located at 613 13Th St. , Ashland KY 41101-2669. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Swann, Justin Forrest can be contacted via phone (606) 329-8080.

Contact Information

Primary practice address
613 13Th St. Ashland KY 41101-2669
Fax: (606) 325-8550
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4525 Kentucky

Profile Details

NPI number 1134262280
LBN Legal business name Swann, Justin Forrest
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated May 19th, 2014 - about 12 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 1134262280 NPPES
Kentucky MEDICAID 85000818

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