Dustman, Richard O
Dustman, Richard O is an sole proprietor health care provider with primary practice located at 4342 Gallia St Suite B, New Boston OH 45662-5562. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Dustman, Richard O can be contacted via phone (740) 456-8888.Contact Information
Primary practice address
4342 Gallia St Suite B
New Boston OH 45662-5562
Phone: (740) 456-8888
Fax: (740) 456-8889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 2172 | Ohio |
Profile Details
| NPI number | 1205960838 |
|---|---|
| LBN Legal business name | Dustman, Richard O |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Feb 4th, 2009 - about 16 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 | 1205960838 | NPPES |
| Ohio | MEDICAID | 0171737 |
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