JUSTIN WILLIAM HERBY PA-C NPI 1649923061

NPI Information

NPI: 1649923061
Provider Name: JUSTIN WILLIAM HERBY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-6789
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Justin William Herby, PA-C is a medical physician assistant in Grand Rapids, MI. Justin William Herby, PA-C NPI is 1649923061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 685-6789

The enumeration date for this NPI number is 1/27/2022 and was last updated on 1/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601010998	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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