Whipple, Justin Ross

Whipple, Justin Ross is an sole proprietor health care provider with primary practice located at 2808 East Outer Drive , Marion IL 62959-6295. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Whipple, Justin Ross can be contacted via phone (618) 993-3817.

Contact Information

Primary practice address
2808 East Outer Drive Marion IL 62959-6295
Phone: (618) 993-3817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209022448 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209022448 Illinois

Profile Details

NPI number 1225629975
LBN Legal business name Whipple, Justin Ross
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2021
Last updated Oct 7th, 2022 - about 4 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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