Dyer, Wendy Ann
Dyer, Wendy Ann is an individual health care provider with primary practice located at 5775 E State Route 113 , Coal City IL 60416-7111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dyer, Wendy Ann can be contacted via phone (815) 634-0100.Contact Information
Primary practice address
5775 E State Route 113
Coal City IL 60416-7111
Phone: (815) 634-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209011468 | Illinois |
Profile Details
| NPI number | 1770903635 |
|---|---|
| LBN Legal business name | Dyer, Wendy Ann |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2014 |
| Last updated | Feb 9th, 2021 - about 3 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 | 1770903635 | NPPES |
| Illinois | Other | 209011468 | IL LICENSE |
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