Boggs, Dusta L.

Boggs, Dusta L. is an individual health care provider with primary practice located at 1990 Holton Ave E , Big Stone Gap VA 24219-3350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Boggs, Dusta L. can be contacted via phone (276) 523-3111.

Contact Information

Primary practice address
1990 Holton Ave E Big Stone Gap VA 24219-3350
Phone: (276) 523-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024123932 Virginia

Profile Details

NPI number 1558301572
LBN Legal business name Boggs, Dusta L.
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Feb 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558301572 NPPES
Kentucky MEDICAID 78027596
Kentucky Other P00350206

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