Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN H BAIN, DO
ActiveNephrology · SIKESTON, MO
Registration Details
- NPI Number
- 1437369527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (18.980243118886 yrs)
- Last Updated
- Aug 8, 2024
- Licenses
-
2011007197 (MO)2011007197 (MO)
Practice Information
- Address
-
1012 N MAIN STSIKESTON, MO, 638015044Browse MO providers · Browse ZIP 63801
- Phone
- 5734710330
- Fax
- 5734710461
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.