Kern, Dustin
Kern, Dustin is an individual health care provider with primary practice located at 8600 N State Route 91 Suite 250, Peoria IL 61615-9541. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Kern, Dustin can be contacted via phone (309) 692-5394.Contact Information
Primary practice address
8600 N State Route 91 Suite 250
Peoria IL 61615-9541
Phone: (309) 692-5394
Fax: (309) 692-2272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 041-339058 | Illinois |
Profile Details
| NPI number | 1750517488 |
|---|---|
| LBN Legal business name | Kern, Dustin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2009 |
| Last updated | Oct 30th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750517488 | NPPES |
| Illinois | Other | PENDING | MEDICARE |
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