Dy, Johnny

Dy, Johnny is an individual health care provider with primary practice located at 401 S Kanawha Street , Beckley WV 25801-3637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dy, Johnny can be contacted via phone (304) 252-0699.

Contact Information

Primary practice address
401 S Kanawha Street Beckley WV 25801-3637
Fax: (304) 255-6719
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10072 West Virginia

Profile Details

NPI number 1124050562
LBN Legal business name Dy, Johnny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124050562 NPPES
West Virginia MEDICAID 0089998000

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