Tanner, Dustin James

Tanner, Dustin James is an individual health care provider with primary practice located at 2200 N Ponce De Leon Blvd Suite #1, St Augustine FL 32084-2600. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tanner, Dustin James can be contacted via phone (904) 819-9110.

Contact Information

Primary practice address
2200 N Ponce De Leon Blvd Suite #1 St Augustine FL 32084-2600
Phone: (904) 819-9110
Fax: (904) 819-9310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH 10578 Florida
Chiropractic Providers / Chiropractor 111N00000X X012022-1 New York

Profile Details

NPI number 1790012201
LBN Legal business name Tanner, Dustin James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2009
Last updated May 29th, 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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