Provider Demographics
NPI:1558494385
Name:JUSTE, EDWIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:J
Last Name:JUSTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4023 KENNETT PIKE # 620
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2018
Mailing Address - Country:US
Mailing Address - Phone:914-960-1145
Mailing Address - Fax:866-378-9982
Practice Address - Street 1:608 NORTH PORTER STREET
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973
Practice Address - Country:US
Practice Address - Phone:302-628-8008
Practice Address - Fax:866-378-9982
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor