Wakefield, Dillen

Wakefield, Dillen is an individual health care provider with primary practice located at 23 Nw Greenwood Ave , Bend OR 97703-2078. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Wakefield, Dillen can be contacted via phone (541) 383-4293.

Contact Information

Primary practice address
23 Nw Greenwood Ave Bend OR 97703-2078
Fax: (541) 383-4935
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1780134106
LBN Legal business name Wakefield, Dillen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated Mar 7th, 2017 - about 7 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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