Janzen, Dustin Wayne

Janzen, Dustin Wayne is an individual health care provider with primary practice located at 2967 Oak Run Pkwy Ste 505 , New Braunfels TX 78132-5379. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Janzen, Dustin Wayne can be contacted via phone (210) 598-2800.

Contact Information

Primary practice address
2967 Oak Run Pkwy Ste 505 New Braunfels TX 78132-5379
Phone: (210) 598-2800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA00555 Texas

Profile Details

NPI number 1164823712
LBN Legal business name Janzen, Dustin Wayne
Credentials LSA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2014
Last updated Mar 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164823712 NPPES
Texas Other 154639 NBSTSA BOARD CERTIFICATION
Texas Other 1234 NBSTSA BOARD CERTIFICATION
Texas Other SA00555 NBSTSA BOARD CERTIFICATION

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