Wilkinson, Justin
Wilkinson, Justin is an individual health care provider with primary practice located at 8658 Big Bend Blvd , Webster Groves MO 63119-3839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilkinson, Justin can be contacted via phone (314) 968-4243.Contact Information
Primary practice address
8658 Big Bend Blvd
Webster Groves MO 63119-3839
Phone: (314) 968-4243
Fax: (314) 968-3273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2009010664 | Missouri |
Profile Details
| NPI number | 1821251422 |
|---|---|
| LBN Legal business name | Wilkinson, Justin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821251422 | NPPES |
| Missouri | MEDICAID | 1821251422 |
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