Alexander, Dustin Wayne

Alexander, Dustin Wayne is an individual health care provider with primary practice located at 2029 Gordon Cooper Dr , Shawnee OK 74801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Alexander, Dustin Wayne can be contacted via phone (405) 878-5850.

Contact Information

Primary practice address
2029 Gordon Cooper Dr Shawnee OK 74801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 90758 Oklahoma

Profile Details

NPI number 1831564269
LBN Legal business name Alexander, Dustin Wayne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Jun 21st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831564269 NPPES
Oklahoma MEDICAID 200628540B

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