Paul, Dustin Jacob

Paul, Dustin Jacob is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Paul, Dustin Jacob can be contacted via phone (717) 531-0003.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax: (717) 531-0119
Website:

Profile Details

NPI number 1316380249
LBN Legal business name Paul, Dustin Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Apr 25th, 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 1316380249 NPPES
Texas MEDICAID 3978711701
Texas Other H08LF29301

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