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JUSTIN VERN PERREAULT
NPI 1003419912
Student in an Organized Health Care Education/Training Program in Moorhead, MN

Active since November 21, 2020
925 36TH ST. S., MOORHEAD, MN 56560(701) 318-1116 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Vern Perreault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN VERN PERREAULT (NPI 1003419912) is an individual student in an organized health care education/training program in Moorhead, Minnesota and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1003419912
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN VERN PERREAULT
Location Address925 36TH ST. S.Moorhead, MN 56560-5656
Mailing Address925 36th St. S.Moorhead, MN 56560 · (701) 318-1116
Phone(701) 318-1116
Sole ProprietorNo
Enumeration DateNovember 21, 2020
NPPES CertifiedNovember 21, 2020
✔ NPI 1003419912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
925 36TH ST. S., Moorhead, MN 56560
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Perreault's NPI number?

The NPI number for Justin Perreault is 1003419912. It was assigned to this individual provider in the NPPES registry on November 21, 2020.

Where is Justin Perreault located?

Justin Perreault practices at 925 36th St. S., Moorhead, MN 56560. The listed phone number is (701) 318-1116.

What is Justin Perreault's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Perreault was last updated on November 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.