Dyer, Elena
Dyer, Elena is an individual health care provider with primary practice located at 1155 35Th Ln Suite 201, Vero Beach FL 32960-6521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Dyer, Elena can be contacted via phone (772) 794-3364.Contact Information
Primary practice address
1155 35Th Ln Suite 201
Vero Beach FL 32960-6521
Phone: (772) 794-3364
Fax: (772) 794-3366
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME 87421 | Florida |
Profile Details
NPI number | 1871554279 |
---|---|
LBN Legal business name | Dyer, Elena |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Oct 8th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871554279 | NPPES |
Florida | MEDICAID | 271222900 | |
Florida | Other | 52035 |
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