Dyer, Jeromy
Dyer, Jeromy is an individual health care provider with primary practice located at 973 Mica Drive Suite 201, Carson City NV 89705-7255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dyer, Jeromy can be contacted via phone (775) 783-6190.Contact Information
Primary practice address
973 Mica Drive Suite 201
Carson City NV 89705-7255
Phone: (775) 783-6190
Fax: (775) 783-6191
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA0335 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA15875 | California |
Profile Details
NPI number | 1003927633 |
---|---|
LBN Legal business name | Dyer, Jeromy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jul 21st, 2021 - about 4 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 | 1003927633 | NPPES |
California | MEDICAID | 0PA158750 |
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