Alexander, Dustin Wayne
Alexander, Dustin Wayne is an individual health care provider with primary practice located at 2029 Gordon Cooper Dr , Shawnee OK 74801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Alexander, Dustin Wayne can be contacted via phone (405) 878-5850.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 90758 | Oklahoma |
Profile Details
| NPI number | 1831564269 |
|---|---|
| LBN Legal business name | Alexander, Dustin Wayne |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2015 |
| Last updated | Jun 21st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831564269 | NPPES |
| Oklahoma | MEDICAID | 200628540B |
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