Dyreby, James R

Dyreby, James R is an individual health care provider with primary practice located at 444 E Timber Dr , Rhinelander WI 54501-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dyreby, James R can be contacted via phone (715) 369-2300.

Contact Information

Primary practice address
444 E Timber Dr Rhinelander WI 54501-2852
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22255 Wisconsin

Profile Details

NPI number 1972666964
LBN Legal business name Dyreby, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 3rd, 2008 - about 16 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 1972666964 NPPES
Wisconsin MEDICAID 30507700

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