Hayes, Dustin O'Leath

Hayes, Dustin O'Leath is an individual health care provider with primary practice located at 817 S Elm Pl Suite C, Broken Arrow OK 74012-5369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hayes, Dustin O'Leath can be contacted via phone (918) 940-4734.

Contact Information

Primary practice address
817 S Elm Pl Suite C Broken Arrow OK 74012-5369
Phone: (918) 940-4734
Fax: (918) 940-4737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5382 Oklahoma
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 5382 Oklahoma

Profile Details

NPI number 1184981144
LBN Legal business name Hayes, Dustin O'Leath
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2012
Last updated Jan 24th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184981144 NPPES
Oklahoma MEDICAID 200498030A

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