Shawcross, Dustin Lee
Shawcross, Dustin Lee is an sole proprietor health care provider with primary practice located at 505 S 336Th St Suite 600, Federal Way WA 98003-5947. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Shawcross, Dustin Lee can be contacted via phone (800) 336-8614.Contact Information
Primary practice address
505 S 336Th St Suite 600
Federal Way WA 98003-5947
Phone: (800) 336-8614
Fax: (253) 838-6418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | MD25749 | Oregon |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD60062980 | Washington |
Profile Details
| NPI number | 1043399975 |
|---|---|
| LBN Legal business name | Shawcross, Dustin Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Sep 10th, 2010 - about 15 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 | 1043399975 | NPPES |
| Washington | Other | 0246652 | LIWA |
| Washington | Other | 8951562 | LIWA |
| Washington | MEDICAID | 8537680 | LIWA |
| Washington | Other | 0249327 | LIWA |
| Washington | Other | 0249327 | LIWA |
| Washington | Other | P00775117 | LIWA |
| Washington | Other | 1008SH | LIWA |
| Washington | Other | 1044SH | LIWA |
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