Dyer, Crystal Shanelle

Dyer, Crystal Shanelle is an individual health care provider with primary practice located at 850 W Main St Ste 2 , Rogersville TN 37857-3663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Dyer, Crystal Shanelle can be contacted via phone (423) 500-0266.

Contact Information

Primary practice address
850 W Main St Ste 2 Rogersville TN 37857-3663
Phone: (423) 500-0266
Fax: (423) 500-4280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0101247662 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 44247 Tennessee

Profile Details

NPI number 1841485018
LBN Legal business name Dyer, Crystal Shanelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Aug 4th, 2023 - about 2 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 1841485018 NPPES
Tennessee Other 44247 STATE MEDICAL LICENSE

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