Stroud, Dustin Marshall
Stroud, Dustin Marshall is an sole proprietor health care provider with primary practice located at 1611 53Rd Ave W , Bradenton FL 34207-2868. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Stroud, Dustin Marshall can be contacted via phone (941) 753-9599.Contact Information
Primary practice address
1611 53Rd Ave W
Bradenton FL 34207-2868
Phone: (941) 753-9599
Fax: (941) 755-0261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PR390 | Florida |
Profile Details
| NPI number | 1578977245 |
|---|---|
| LBN Legal business name | Stroud, Dustin Marshall |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2014 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1578977245 | NPPES |
| Florida | Other | 14002862 | CAQH |
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