Irish, Dylan
Irish, Dylan is an individual health care provider with primary practice located at 5233 E Southern Ave Ste 104 , Mesa AZ 85206-3628. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Pain Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Irish, Dylan can be contacted via phone (480) 830-2882.Contact Information
Primary practice address
5233 E Southern Ave Ste 104
Mesa AZ 85206-3628
Phone: (480) 830-2882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7467 | Arizona |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 1149199 | Arizona |
Profile Details
| NPI number | 1134785967 |
|---|---|
| LBN Legal business name | Irish, Dylan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2019 |
| Last updated | Jan 14th, 2021 - about 5 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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