Bouwhuis, Dustin J
Bouwhuis, Dustin J is an sole proprietor health care provider with primary practice located at 24585 Del Prado Suite H, Dana Point CA 92629-3821. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Bouwhuis, Dustin J can be contacted via phone (949) 487-2722.Contact Information
Primary practice address
24585 Del Prado Suite H
Dana Point CA 92629-3821
Phone: (949) 487-2722
Fax: (949) 487-2723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 31527 | California |
Profile Details
| NPI number | 1861705568 |
|---|---|
| LBN Legal business name | Bouwhuis, Dustin J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2010 |
| Last updated | May 15th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861705568 | NPPES |
| Other | 46-1743657 | CORPORATION TAX ID |
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