Paul, Dustin Jacob
Paul, Dustin Jacob is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Paul, Dustin Jacob can be contacted via phone (717) 531-0003.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (717) 531-0003
Fax: (717) 531-0119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS021706 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q5064 | Texas |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | OS021706 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | Q5064 | Texas |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | Q5064 | Texas |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | OS021706 | Pennsylvania |
Profile Details
| NPI number | 1316380249 |
|---|---|
| LBN Legal business name | Paul, Dustin Jacob |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2013 |
| Last updated | Apr 25th, 2022 - about 3 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 | 1316380249 | NPPES |
| Texas | MEDICAID | 3978711701 | |
| Texas | Other | H08LF29301 |
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