Lash, Dustin
Lash, Dustin is an individual health care provider with primary practice located at 2800 Ross Clark Cir Ste 2 , Dothan AL 36301-9917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lash, Dustin can be contacted via phone (334) 239-0063.Contact Information
Primary practice address
2800 Ross Clark Cir Ste 2
Dothan AL 36301-9917
Phone: (334) 239-0063
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | P0845 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | P0845 | Texas |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | DO.1478 | Alabama |
Profile Details
NPI number | 1639305246 |
---|---|
LBN Legal business name | Lash, Dustin |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2009 |
Last updated | Oct 25th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639305246 | NPPES |
Alabama | MEDICAID | 169149 | |
Alabama | Other | 511-58601 |
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