Anthony, Dustin

Anthony, Dustin is an individual health care provider with primary practice located at 7175 State Route 104 , Mc Dermott OH 45652-8899. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Anthony, Dustin can be contacted via phone (740) 858-6683.

Contact Information

Primary practice address
7175 State Route 104 Mc Dermott OH 45652-8899
Phone: (740) 858-6683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.179889 Ohio

Profile Details

NPI number 1447987128
LBN Legal business name Anthony, Dustin
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2022
Last updated Oct 12th, 2023 - about last year

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 1447987128 NPPES
Ohio MEDICAID 0001572

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