Dysart, John M
Dysart, John M is an individual health care provider with primary practice located at 3220 Discovery Drive Suite 210, Lansing MI 48910. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Dysart, John M can be contacted via phone (517) 484-0004.Contact Information
Primary practice address
3220 Discovery Drive Suite 210
Lansing MI 48910
Phone: (517) 484-0004
Fax: (517) 484-7241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | JD063672 | Michigan |
Profile Details
| NPI number | 1265425177 |
|---|---|
| LBN Legal business name | Dysart, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 20th, 2023 - about last year |
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 | 1265425177 | NPPES |
| Michigan | MEDICAID | L3338287 | |
| Michigan | Other | 85305 |
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