Castleberry, Dustin
Castleberry, Dustin is an sole proprietor health care provider with primary practice located at 20873 Eva St Ste C , Montgomery TX 77356-1975. 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. Castleberry, Dustin can be contacted via phone (936) 597-5323.Contact Information
Primary practice address
20873 Eva St Ste C
Montgomery TX 77356-1975
Phone: (936) 597-5323
Fax: (936) 597-8914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3130087 | Texas |
Profile Details
| NPI number | 1346954989 |
|---|---|
| LBN Legal business name | Castleberry, Dustin |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2023 |
| Last updated | Jan 9th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346954989 | NPPES |
| Texas | Other | 3130087 | STATE LICENSE |
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