Dyer, Charles E

Dyer, Charles E is an individual health care provider with primary practice located at 1850 Town Center Pkwy Emergency Department, Reston VA 20190-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Dyer, Charles E can be contacted via phone (703) 689-9039.

Contact Information

Primary practice address
1850 Town Center Pkwy Emergency Department Reston VA 20190-3219
Phone: (703) 689-9039
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101028312 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0021940 Maryland

Profile Details

NPI number 1972590099
LBN Legal business name Dyer, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972590099 NPPES
Other 7400 CARE FIRST

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