Moore, Dustin Burson

Moore, Dustin Burson is an individual health care provider with primary practice located at 630 Addison Ave W Ste 1000 , Twin Falls ID 83301-5853. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Moore, Dustin Burson can be contacted via phone (208) 736-5048.

Contact Information

Primary practice address
630 Addison Ave W Ste 1000 Twin Falls ID 83301-5853
Phone: (208) 736-5048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-9658 Idaho

Profile Details

NPI number 1518672120
LBN Legal business name Moore, Dustin Burson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2023
Last updated Jul 19th, 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.

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