NPI 1871975029

Dustin De'Wayne Sheets, PRESIDENTCEOIDE

Practitioner Private Vehicle Indianapolis, IN

Practice location

Address: 1020 Hosbrook St Suite D, Indianapolis, IN 46203-1067
Phone: (317) 646-8105

Registered specialties (4)

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 0480-12-5874 (IN)

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Technician

Nursing Service Related Providers Taxonomy 374700000X Licence QMA1400100 (IN)

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence HHA1204113 (IN)

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence CNA0605779 (IN)

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Registry record

NPI: 1871975029
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2015
Record last updated: 22 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.