Dyer, Candace L
Dyer, Candace L is an individual health care provider with primary practice located at 390 Toll Gate Rd Ste.200, Warwick RI 02886-4326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Dyer, Candace L can be contacted via phone (401) 739-8010.Contact Information
Primary practice address
390 Toll Gate Rd Ste.200
Warwick RI 02886-4326
Phone: (401) 739-8010
Fax: (401) 739-6087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | RI6126 | Rhode Island |
Profile Details
| NPI number | 1770582876 |
|---|---|
| LBN Legal business name | Dyer, Candace L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1770582876 | NPPES |
| Rhode Island | MEDICAID | 7000783 | |
| Rhode Island | Other | 29067-8 | |
| Rhode Island | Other | 003673 |
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