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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881684512 NPPES
Virginia MEDICAID 010100968

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