Titcomb, Dustin

Titcomb, Dustin is an individual health care provider with primary practice located at 715 N Beaver St Unit C , Flagstaff AZ 86001-3141. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Titcomb, Dustin can be contacted via phone (928) 224-2847.

Contact Information

Primary practice address
715 N Beaver St Unit C Flagstaff AZ 86001-3141
Phone: (928) 224-2847
Fax: (928) 249-3120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 11711PT Arizona

Profile Details

NPI number 1275912784
LBN Legal business name Titcomb, Dustin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2015
Last updated Feb 2nd, 2024 - about last year

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 1275912784 NPPES
Arizona MEDICAID 46855

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