Provider Demographics
NPI:1649307588
Name:SHEBA, JUSTIN J (DO)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:J
Last Name:SHEBA
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Gender:M
Credentials:DO
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Mailing Address - Street 1:150 WAYLAND SMITH DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401
Mailing Address - Country:US
Mailing Address - Phone:724-437-8200
Mailing Address - Fax:724-437-6673
Practice Address - Street 1:150 WAYLAND SMITH DR
Practice Address - Street 2:SUITE 1
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401
Practice Address - Country:US
Practice Address - Phone:724-437-8200
Practice Address - Fax:724-437-6673
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
PAOS012554207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABS9276785OtherDEA