Fullaway, Dustin C
Fullaway, Dustin C is an sole proprietor health care provider with primary practice located at 1325 Warren Ave Suite 5, Spring Lake NJ 07762-2566. 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. Fullaway, Dustin C can be contacted via phone (732) 449-7855.Contact Information
Primary practice address
1325 Warren Ave Suite 5
Spring Lake NJ 07762-2566
Phone: (732) 449-7855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA01355900 | New Jersey |
Profile Details
| NPI number | 1346553807 |
|---|---|
| LBN Legal business name | Fullaway, Dustin C |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2010 |
| Last updated | Jul 26th, 2010 - about 14 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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