Dylla, Carrie J

Dylla, Carrie J is an individual health care provider with primary practice located at 123 19Th Street Ne , Watertown SD 57201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dylla, Carrie J can be contacted via phone (605) 886-8482.

Contact Information

Primary practice address
123 19Th Street Ne Watertown SD 57201
Phone: (605) 886-8482
Fax: (605) 884-4300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0485 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1052055 South Dakota

Profile Details

NPI number 1245274240
LBN Legal business name Dylla, Carrie J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1245274240 NPPES
South Dakota MEDICAID 5200010
South Dakota MEDICAID 6823410

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