Matthew L Justus in Glade Spring - Physician Assistant

Matthew L Justus - NPI 1821033895

Matthew L Justus is a Physician Assistant in Glade Spring, Virginia. Matthew L Justus practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew L Justus is 1821033895. The last update date is 2021-05-20.

Matthew L Justus's current location address is 202 Town Square St., Glade Spring, Virginia. You can contact this provider via phone number 2764291410 and fax number 2767832879. The mailing address for Matthew L Justus is 202 Town Square St., Glade Spring, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew L Justus
Address 202 Town Square St., Glade Spring, Virginia
Phone Number 2764291410
Fax Number 2767832879
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1821033895
Provider Enumeration Date 2006-06-16
Last Updated Date 2021-05-20

Provider Mailing Address Detail

Address 202 Town Square St.
City Glade Spring
State Virginia (VA)
Post Code 24340
Phone Number 2764291410
Fax Number 2767832879

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1170
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Q007384 TN --
P01198022 VA RR MEDICARE
1821033895 VA --

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FAQs about Matthew L Justus

What is the unique 10-digit identification code issued to Matthew L Justus by the Centers for Medicare & Medicaid Services?

The Matthew L Justus has been assigned the NPI (National Provider Identifier) 1821033895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Matthew L Justus's physical address?

The Matthew L Justus is physically located at 202 Town Square St., in the city of Glade Spring, VA, with the postal code 24340.

What is the Matthew L Justus's specialty and taxonomy code?

The Matthew L Justus's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date was the 1821033895 assigned to Matthew L Justus?

The Matthew L Justus was issued its 1821033895 on 2006-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Matthew L Justus most recently updated or revised?

The details related to Matthew L Justus, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-20.

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