Anderson, Dustin William
Anderson, Dustin William is an individual health care provider with primary practice located at 1011 Bowles Ave Ste 200 , Fenton MO 63026-2384. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Dustin William can be contacted via phone (636) 717-1700.Contact Information
Primary practice address
1011 Bowles Ave Ste 200
Fenton MO 63026-2384
Phone: (636) 717-1700
Fax: (636) 203-4727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2019021861 | Missouri |
Profile Details
| NPI number | 1821640517 |
|---|---|
| LBN Legal business name | Anderson, Dustin William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2019 |
| Last updated | Oct 7th, 2024 - about 2 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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