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Contact Information

JUSTIN SMITH
168 PICTURE PERFECT DRIVE
LUNDALE, WV25630
 Phone: 304-687-8853
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for JUSTIN SMITH · (Male)

NPI Number 1225709785
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2021
Last updated 09/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WV License # F290978
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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