Jamieson, Dylan John

Jamieson, Dylan John is an sole proprietor health care provider with primary practice located at 2817 Reilly St , Fort Bragg NC 28310-7324. He recently has 2 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Jamieson, Dylan John can be contacted via phone (910) 907-6000.

Contact Information

Primary practice address
2817 Reilly St Fort Bragg NC 28310-7324
Phone: (910) 907-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301317 Virginia

Profile Details

NPI number 1710491766
LBN Legal business name Jamieson, Dylan John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2017
Last updated May 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710491766 NPPES
New York MEDICAID 90132341

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