Dyar, Denise

Dyar, Denise is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Twp MI 48038-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dyar, Denise can be contacted via phone (586) 236-2601.

Contact Information

Primary practice address
15855 19 Mile Rd Clinton Twp MI 48038-3504
Phone: (586) 236-2601
Fax: (586) 263-2589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704164070 Michigan

Profile Details

NPI number 1487632923
LBN Legal business name Dyar, Denise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Sep 4th, 2007 - about 17 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 1487632923 NPPES
Other 11712516 CAQH

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