Randall, Dustin Charles

Randall, Dustin Charles is an individual health care provider with primary practice located at 804 S. Walnut Street , Freeman SD 57029. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Randall, Dustin Charles can be contacted via phone (605) 925-4219.

Contact Information

Primary practice address
804 S. Walnut Street Freeman SD 57029
Phone: (605) 925-4219
Fax: (605) 925-4220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000712 South Dakota

Profile Details

NPI number 1982967451
LBN Legal business name Randall, Dustin Charles
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 14 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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