Dyer, Brett Aaron

Dyer, Brett Aaron is an individual health care provider with primary practice located at 4605 Maccorkle Avneue, Sw , South Charleston WV 25309. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Dyer, Brett Aaron can be contacted via phone (304) 766-3600.

Contact Information

Primary practice address
4605 Maccorkle Avneue, Sw South Charleston WV 25309
Phone: (304) 766-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 68352 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 88063 West Virginia

Profile Details

NPI number 1184983371
LBN Legal business name Dyer, Brett Aaron
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2012
Last updated Sep 11th, 2012 - about 12 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 1184983371 NPPES
West Virginia Other Q39833A MEDICARE PTAN
West Virginia MEDICAID 3810023357 MEDICARE PTAN

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