Dyer, Susan Elizabeth
Dyer, Susan Elizabeth is an individual health care provider with primary practice located at 7620 Metcalf Avenue Suite M, Overland Park KS 66204-2996. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dyer, Susan Elizabeth can be contacted via phone (913) 383-9014.Contact Information
Primary practice address
7620 Metcalf Avenue Suite M
Overland Park KS 66204-2996
Phone: (913) 383-9014
Fax: (913) 383-9015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 1700076 | Kansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OC001499 | Missouri |
Profile Details
| NPI number | 1770645616 |
|---|---|
| LBN Legal business name | Dyer, Susan Elizabeth |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1770645616 | NPPES |
| Missouri | Other | 21222019 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 701215 | BLUE CROSS BLUE SHIELD |
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