Dycus, Creole Marie
Dycus, Creole Marie is an individual health care provider with primary practice located at 11845 Allisonville Rd , Fishers IN 46038-2313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dycus, Creole Marie can be contacted via phone (317) 842-2727.Contact Information
Primary practice address
11845 Allisonville Rd
Fishers IN 46038-2313
Phone: (317) 842-2727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000360A | Indiana |
Profile Details
| NPI number | 1689643538 |
|---|---|
| LBN Legal business name | Dycus, Creole Marie |
| Credentials | FNP, APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Sep 27th, 2012 - about 14 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 | 1689643538 | NPPES |
| Indiana | Other | 11446468 | CAQH |
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