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GLEN E DUST M.D., NPI 1477555738

Family Medicine in DECATUR, IL

Last Updated on : Dec 29,2021

About GLEN E DUST (NPI 1477555738)


GLEN E DUST is a Family Medicine provider in DECATUR, United States. His medical specialization is Family Medicine .

1477555738 is NPI number of GLEN E DUST.

GLEN E DUST's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 036068658. This taxonomy code refers to Family Medicine.

GLEN E DUST has more than 16 years of experience.

GLEN E DUST current practice location address is 4965 E LOST BRIDGE RD, DECATUR, IL. GLEN E DUST can be reached out via phone at 217-864-5531 .

You can also correspond with GLEN E DUST through mail at mailing address 4965 E LOST BRIDGE RD, DECATUR, IL, United States. Mailing address contact number is 217-864-5531.

The enumeration date of GLEN E DUST is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1477555738 NPI Information

Name GLEN E DUST
National Provider Id (NPI) 1477555738
Entity Type Individual
Gender M
Credential M.D.
Practice Address 4965 E LOST BRIDGE RD,
DECATUR, IL, United States
Practice Telephone 217-864-5531
Practice Fax Number
Mailing Address 4965 E LOST BRIDGE RD ,
DECATUR, IL, United States
Mailing Telephone 217-864-5531
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 29-Dec-2021

GLEN E DUST (NPI 1477555738) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine 036068658 IL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
0007000023 Other (non-Medicare) (01) IL BCBS of Illinois
0360686581 MEDICAID (05) IL
080027217 Other (non-Medicare) (01) IL Palmetto
182358 Other (non-Medicare) (01) IL Healthlink
729391 MEDICARE OSCAR/Certification (06) IL
C47076 MEDICARE UPIN (02) IL

GLEN E DUST (NPI 1477555738) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1053478982 SHANNON CAIN MONTGOMERY Physical Therapist 251 JOHNSTON ST SE, SUITE 300
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02-Jan-2007
1538676325 JO WEAVER Counselor 4110 US HIGHWAY 31 S,
DECATUR, AL, United States
03-Jan-2018
1851864771 WHITNEY AMBER GEORGE Social Worker 1608 4TH AVE SE,
DECATUR, AL, United States
03-Jan-2019
1245218767 DALE A POTTER Optometrist 2349 DANVILLE RD SW, SUITE 410
DECATUR, AL, United States
04-Jan-2006
1912054883 ANDREW WESLEY STUBBLEFIELD Pediatrics 3821 US HIGHWAY 31 S,
DECATUR, AL, United States
04-Jan-2007
1023293404 RITA LINCH Case Manager/Care Coordinator 501 MCGLATHERY LANE,
DECATUR, AL, United States
04-Jan-2008
1902136559 JOHN CHRISTOPHER MATTHEWS Pharmacist 1207 MEDICAL DR SE,
DECATUR, AL, United States
04-Jan-2010
1356645410 DONNA LISA TAYLOR Social Worker 1316 SOMERVILLE RD SE, SUITE 1
DECATUR, AL, United States
04-Jan-2011
1750826475 CARINITY THERAPY SERVICES LLC Clinic/Center, Physical Therapy 1629 4TH AVE SE, SUITE 120 D
DECATUR, AL, United States
04-Jan-2017
1326195702 SUSAN ALEXANDER Nurse Practitioner, Adult Health 1501 7TH ST SE # 3,
DECATUR, AL, United States
05-Jan-2007
1518015809 LEIGH A. RUTLEDGE Dietitian, Registered, Nutrition, Metabolic 1310 14TH AVE SE,
DECATUR, AL, United States
05-Jan-2007
1629466222 LAYLA NIEMANN Social Worker, Clinical 2941 POINT MALLARD PKWY SE, SUITE D
DECATUR, AL, United States
05-Jan-2015
1760848972 SHEQUITA MADRY BRIDGEFORTH Obstetrics & Gynecology 1874 BELTLINE RD SW STE 105,
DECATUR, AL, United States
05-Jan-2016
1790446391 ENCORE REHABILITATION INC Clinic/Center, Physical Therapy 251 JOHNSTON ST SE STE 200,
DECATUR, AL, United States
05-Jan-2022
1700022167 LETRICIA A OGUTU Counselor, Mental Health 1316 SOMERVILLE RD SE, SUITE 1
DECATUR, AL, United States
06-Jan-2009
1609264126 ROBBIE LATON JUNEARICK Counselor, Mental Health 1316 SOMERVILLE RD SE, SUITE 1
DECATUR, AL, United States
06-Jan-2015
1366033409 KINSIE LASSAUW Nurse Practitioner, Family 3500 MEMORIAL PARKWAY S.W.,
HUNTSVILLE, AL, United States
01-Feb-2021
1558419283 KATHERINE C GAUT-OWENS Speech-Language Pathologist, 201 SHERRY LYNN PL,
HARVEST, AL, United States
08-Jan-2007
1609924109 LUXOTTICA RETAIL NORTH AMERICA INC Eyewear Supplier (Equipment, not the service) 1801 BELTLINE RD SW, COLONIAL MALL
DECATUR, AL, United States
08-Jan-2007
1649417965 KIMBERLY JILL WELDEN Dentist, General Practice 2691 SANDLIN RD SW STE C,
DECATUR, AL, United States
08-Jan-2009

FAQs

Whose NPI Number is 1477555738?

1477555738 is the NPI number of GLEN E DUST.

What is the specialty for GLEN E DUST?

The Specialty of GLEN E DUST is Family Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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