Dale, Dustin Michael

Dale, Dustin Michael is an sole proprietor health care provider with primary practice located at 10537 Moorpark St , Spring Valley CA 91978-1512. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Dale, Dustin Michael can be contacted via phone (619) 961-7860.

Contact Information

Primary practice address
10537 Moorpark St Spring Valley CA 91978-1512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1215126339
LBN Legal business name Dale, Dustin Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2007
Last updated Mar 19th, 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.

Request for update

Popular Providers