Bartlett, Dustin

Bartlett, Dustin is an individual health care provider with primary practice located at 3800 S National Ave , Springfield MO 65807-5209. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bartlett, Dustin can be contacted via phone (417) 875-3800.

Contact Information

Primary practice address
3800 S National Ave Springfield MO 65807-5209
Phone: (417) 875-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2005003803 Missouri

Profile Details

NPI number 1972603777
LBN Legal business name Bartlett, Dustin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Dec 27th, 2018 - about 8 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 1972603777 NPPES
Missouri MEDICAID 220024622
Missouri Other 2005003803

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