Hendrick, Dustin Blake

Hendrick, Dustin Blake is an individual health care provider with primary practice located at 590 S 5Th Ave , Lebanon PA 17042-9195. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Hendrick, Dustin Blake can be contacted via phone (717) 274-0421.

Contact Information

Primary practice address
590 S 5Th Ave Lebanon PA 17042-9195
Phone: (717) 274-0421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT028190 Pennsylvania

Profile Details

NPI number 1073133385
LBN Legal business name Hendrick, Dustin Blake
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2020
Last updated Apr 16th, 2020 - about 4 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

Identifiers

StateTypeNumberIssuer
All States NPI 1073133385 NPPES
Pennsylvania Other PT028190 PHYSICAL THERAPIST STATE LICENSE

Popular Providers