Stuart, Dustin Ty

Stuart, Dustin Ty is an sole proprietor health care provider with primary practice located at 776 Weatherly Dr Ste B , Clarksville TN 37043-8922. 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. Stuart, Dustin Ty can be contacted via phone (615) 941-8501.

Contact Information

Primary practice address
776 Weatherly Dr Ste B Clarksville TN 37043-8922
Phone: (615) 941-8501
Fax: (615) 941-8102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3834 Tennessee

Profile Details

NPI number 1245576180
LBN Legal business name Stuart, Dustin Ty
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2012
Last updated Aug 1st, 2024 - about 2 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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