Barrett, Dustin Robert

Barrett, Dustin Robert is an individual health care provider with primary practice located at 1500 W Elk Ave Ste 104 , Elizabethton TN 37643-2655. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Barrett, Dustin Robert can be contacted via phone (423) 543-2215.

Contact Information

Primary practice address
1500 W Elk Ave Ste 104 Elizabethton TN 37643-2655
Phone: (423) 543-2215
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7965 Tennessee

Profile Details

NPI number 1942430517
LBN Legal business name Barrett, Dustin Robert
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Nov 16th, 2017 - about 8 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 1942430517 NPPES
Tennessee MEDICAID Q021100

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