Healthcare Provider Details

I. General information

NPI: 1154226397
Provider Name (Legal Business Name): JUSTIN SHULER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3513 22ND ST SE
WASHINGTON DC
20020-6154
US

IV. Provider business mailing address

12500 GABLE LN
FORT WASHINGTON MD
20744-5246
US

V. Phone/Fax

Practice location:
  • Phone: 202-500-5340
  • Fax:
Mailing address:
  • Phone: 301-893-5314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: