Dinnies, Jonn B.

Dinnies, Jonn B. is an individual health care provider with primary practice located at 235 E State St , Saint Croix Falls WI 54024-4117. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dinnies, Jonn B. can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
235 E State St Saint Croix Falls WI 54024-4117
Fax: (715) 483-0507
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 423 Wisconsin

Profile Details

NPI number 1467457457
LBN Legal business name Dinnies, Jonn B.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 14th, 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 1467457457 NPPES
Wisconsin MEDICAID 42919800
Wisconsin MEDICAID 880401000

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