Dillon, Sherese R
Dillon, Sherese R is an sole proprietor health care provider with primary practice located at 1237 W 82Nd Lane , Merrillville IN 46410. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Dillon, Sherese R can be contacted via phone (219) 791-0667.Contact Information
Primary practice address
1237 W 82Nd Lane
Merrillville IN 46410
Phone: (219) 791-0667
Fax: (219) 791-0657
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000980A | Indiana |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 07000980A | Indiana |
Profile Details
NPI number | 1598730020 |
---|---|
LBN Legal business name | Dillon, Sherese R |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 19th, 2006 |
Last updated | Jul 29th, 2013 - about 11 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 | 1598730020 | NPPES |
Indiana | MEDICAID | 200281060A |
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