Dyer, Jonathan A

Dyer, Jonathan A is an individual health care provider with primary practice located at 1101 Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Dyer, Jonathan A can be contacted via phone (573) 882-4800.

Contact Information

Primary practice address
1101 Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-4800
Fax: (573) 884-5947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2001014980 Missouri

Profile Details

NPI number 1376591073
LBN Legal business name Dyer, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Sep 14th, 2022 - 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 1376591073 NPPES
Missouri Other 189164 BLUE SHIELD/BLUE CHOICE
Missouri Other 658400 BLUE SHIELD/BLUE CHOICE
Missouri MEDICAID 209312404 BLUE SHIELD/BLUE CHOICE
Missouri Other 300639 BLUE SHIELD/BLUE CHOICE

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