Dillard, Faith A
Dillard, Faith A is an sole proprietor health care provider with primary practice located at 1200 College Dr , Rock Springs WY 82901-5868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Dillard, Faith A can be contacted via phone (307) 362-3711.Contact Information
Primary practice address
1200 College Dr
Rock Springs WY 82901-5868
Phone: (307) 362-3711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101236694 | Virginia |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 7723A | Wyoming |
Profile Details
NPI number | 1881684512 |
---|---|
LBN Legal business name | Dillard, Faith A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2005 |
Last updated | Nov 22nd, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881684512 | NPPES |
Virginia | MEDICAID | 010100968 |
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