Dillard, Dennis Wayne

Dillard, Dennis Wayne is an individual health care provider with primary practice located at 741 W Main St , Peoria IL 61606-2017. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Dillard, Dennis Wayne can be contacted via phone (309) 676-2276.

Contact Information

Primary practice address
741 W Main St Peoria IL 61606-2017
Phone: (309) 676-2276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X 212-000127 Illinois

Profile Details

NPI number 1275667115
LBN Legal business name Dillard, Dennis Wayne
Credentials C.PED., CTO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Nov 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275667115 NPPES
Illinois Other CPED1563 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS, INC.
Illinois Other 212-000127 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS, INC.

Popular Providers