Dutson, Mical Thomas

Dutson, Mical Thomas is an sole proprietor health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97470-6523. He recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Nursing Service Providers / General Practice. Hospitals / General Acute Care Hospital is his primary health care specialty. Dutson, Mical Thomas can be contacted via phone (541) 440-1000.

Contact Information

Primary practice address
913 Nw Garden Valley Blvd Roseburg OR 97470-6523
Phone: (541) 440-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 094006089N1 FNP-PP Oregon
Nursing Service Providers / General Practice 163WG0000X Oregon

Profile Details

NPI number 1699787655
LBN Legal business name Dutson, Mical Thomas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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