Dyer, Keith Elliott

Dyer, Keith Elliott is an individual health care provider with primary practice located at 7200 W 9Th Ave , Amarillo TX 79106-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Dyer, Keith Elliott can be contacted via phone (806) 416-1041.

Contact Information

Primary practice address
7200 W 9Th Ave Amarillo TX 79106-1703
Phone: (806) 416-1041
Fax: (806) 418-4329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X K5914 Texas

Profile Details

NPI number 1366456394
LBN Legal business name Dyer, Keith Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 7th, 2014 - about 11 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 1366456394 NPPES
Other 112061103 FIRSTCARE PROV NUMBER
Other 8G3990 FIRSTCARE PROV NUMBER
Other 112061103 FIRSTCARE PROV NUMBER
Other 0052HZ FIRSTCARE PROV NUMBER

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