DUSTIN KYLE BACH (NPI# 1083100333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083100333 |
| Entity Type | Individual |
| Full Name | DUSTIN KYLE BACH |
| Credential | CDCA |
| Practice Address |
530 2nd Ave Gallipolis OH 45631 |
| Mailing Address |
214 S 4th St Ironton OH 45638-1610 |
| Practice Telephone | 7404462085 |
| Practice Fax Number | 7404462292 |
| Mailing Telephone | 7405323767 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
167975 | OH | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
530 2ND AVE |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201836 | Brittani N Lewis | Case Manager/Care Coordinator | 530 2nd Ave, Gallipolis, OH 45631-1219 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119923 | Jessica Joyce Queen | Counselor | 1086 Jackson Pike, Gallipolis, OH 45631-1396 | 2020-09-16 |
| 1437632312 | Daphne I Long | Counselor | 1699 Mccormick Rd, Gallipolis, OH 45631-8687 | 2018-09-07 |
| 1073014882 | Breah N Briggs | Counselor | 3090 St Rt 160, Gallipolis, OH 45631-8409 | 2018-02-27 |
| 1689190506 | Monica Lynn Markin | Counselor | 458 2nd Ave, Gallipolis, OH 45631-1157 | 2017-08-22 |
| 1013367739 | Angela Stowers | Counselor | 3090 Sr 160, Gallipolis, OH 45631-8409 | 2016-06-14 |
| 1255303574 | Southern Ohio Solutions, Inc. | Counselor | 499 Jackson Pike, Gallipolis, OH 45631-1398 | 2006-02-02 |
| 1922624915 | Valerie Potts | Counselor | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2020-06-25 |
| 1376179648 | Jessica Lloyd | Counselor | 499 Jackson Pike, Gallipolis, OH 45631-1398 | 2020-03-19 |
| 1215560065 | Brittani Ann Smith | Counselor | 254 Pinecrest Dr, Gallipolis, OH 45631-1347 | 2020-02-20 |
| 1023658515 | Summer Dawn Wickersham | Counselor | 254 Pinecrest Dr, Gallipolis, OH 45631-1347 | 2020-01-13 |
| Find all providers in GALLIPOLIS | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
Please comment or provide details below to improve the information on DUSTIN KYLE BACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.