Bennett, Dustin Lansing
Bennett, Dustin Lansing is an sole proprietor health care provider with primary practice located at 15301 Warren Shingle Rd , Beale Afb CA 95903-1905. 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. Bennett, Dustin Lansing can be contacted via phone (530) 435-5362.Contact Information
Primary practice address
15301 Warren Shingle Rd
Beale Afb CA 95903-1905
Phone: (530) 435-5362
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1669039525 |
|---|---|
| LBN Legal business name | Bennett, Dustin Lansing |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2019 |
| Last updated | Jul 8th, 2020 - 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 | 1669039525 | NPPES |
| Other | 1669039525 | DOD |
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