Allen, Dustin B

Allen, Dustin B is an individual health care provider with primary practice located at 2204 Wilborn Ave , South Boston VA 24592-1645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Allen, Dustin B can be contacted via phone (434) 517-3136.

Contact Information

Primary practice address
2204 Wilborn Ave South Boston VA 24592-1645
Phone: (434) 517-3136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003605 Virginia

Profile Details

NPI number 1457646861
LBN Legal business name Allen, Dustin B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Jun 14th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457646861 NPPES
Virginia Other 0110003605 LICENSE

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