Oosten, Dustin
Oosten, Dustin is an individual health care provider with primary practice located at 39 N 25Th St E , Superior WI 54880-5269. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Oosten, Dustin can be contacted via phone (715) 392-8216.Contact Information
Primary practice address
39 N 25Th St E
Superior WI 54880-5269
Phone: (715) 392-8216
Fax: (715) 392-6055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 585 | Wisconsin |
Profile Details
| NPI number | 1174623466 |
|---|---|
| LBN Legal business name | Oosten, Dustin |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1174623466 | NPPES |
| Wisconsin | MEDICAID | 39748700 |
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