Vance, Dustin
Vance, Dustin is an sole proprietor health care provider with primary practice located at 3150 Harrison St , Batesville AR 72501-7515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vance, Dustin can be contacted via phone (870) 793-6544.Contact Information
Primary practice address
3150 Harrison St
Batesville AR 72501-7515
Phone: (870) 793-6544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2657 | Arkansas |
Profile Details
| NPI number | 1235445297 |
|---|---|
| LBN Legal business name | Vance, Dustin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2010 |
| Last updated | Oct 8th, 2012 - about 12 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 | 1235445297 | NPPES |
| Arkansas | MEDICAID | 187164722 |
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