Long, Dustin Ross

Long, Dustin Ross is an individual health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Long, Dustin Ross can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104
Phone: (206) 520-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD60770694 Washington
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD60770694 Washington

Profile Details

NPI number 1508108051
LBN Legal business name Long, Dustin Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Jul 3rd, 2018 - about 6 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 1508108051 NPPES
Washington MEDICAID 1508108051

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