Blackwell, Karen Dyer
Blackwell, Karen Dyer is an individual health care provider with primary practice located at 310 N 7 Hills Rd , O Fallon IL 62269-4111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blackwell, Karen Dyer can be contacted via phone (618) 624-6181.Contact Information
Primary practice address
310 N 7 Hills Rd
O Fallon IL 62269-4111
Phone: (618) 624-6181
Fax: (618) 624-7172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085005182 | Illinois |
Profile Details
| NPI number | 1487983664 |
|---|---|
| LBN Legal business name | Blackwell, Karen Dyer |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2009 |
| Last updated | Feb 22nd, 2016 - about 9 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.
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