Dinius, Desirae Lynn
Dinius, Desirae Lynn is an individual health care provider with primary practice located at 2500 Fairway St , Dickinson ND 58601-2639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dinius, Desirae Lynn can be contacted via phone (701) 456-4000.Contact Information
Primary practice address
2500 Fairway St
Dickinson ND 58601-2639
Phone: (701) 456-4000
Fax: (701) 456-4545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PAC0565 | North Dakota |
Profile Details
| NPI number | 1629487160 |
|---|---|
| LBN Legal business name | Dinius, Desirae Lynn |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2014 |
| Last updated | Jun 15th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629487160 | NPPES |
| North Dakota | MEDICAID | HE# 1461268 | |
| North Dakota | MEDICAID | 71367 |
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