Buford, Dusty Ray
Buford, Dusty Ray is an individual health care provider with primary practice located at 1076 Santo Antonio Dr Suite B, Colton CA 92324-8103. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Buford, Dusty Ray can be contacted via phone (909) 433-9824.Contact Information
Primary practice address
1076 Santo Antonio Dr Suite B
Colton CA 92324-8103
Phone: (909) 433-9824
Fax: (909) 433-9830
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 040854 | California |
Profile Details
NPI number | 1750415592 |
---|---|
LBN Legal business name | Buford, Dusty Ray |
Credentials | CATC - CAADE 040854 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2007 |
Last updated | Sep 7th, 2011 - about 13 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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