Dyer, Everett Brantley
Dyer, Everett Brantley is an individual health care provider with primary practice located at 3427 Robin Ln Suite 100, Cameron Park CA 95682-7254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dyer, Everett Brantley can be contacted via phone (530) 676-7337.Contact Information
Primary practice address
3427 Robin Ln Suite 100
Cameron Park CA 95682-7254
Phone: (530) 676-7337
Fax: (530) 676-6644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G65725 | California |
Profile Details
| NPI number | 1184654030 |
|---|---|
| LBN Legal business name | Dyer, Everett Brantley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1184654030 | NPPES |
| California | Other | 00G657250 | LICENSE # |
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