Dyer, Jeromy

Dyer, Jeromy is an individual health care provider with primary practice located at 973 Mica Drive Suite 201, Carson City NV 89705-7255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dyer, Jeromy can be contacted via phone (775) 783-6190.

Contact Information

Primary practice address
973 Mica Drive Suite 201 Carson City NV 89705-7255
Phone: (775) 783-6190
Fax: (775) 783-6191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0335 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15875 California

Profile Details

NPI number 1003927633
LBN Legal business name Dyer, Jeromy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 21st, 2021 - about 5 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 1003927633 NPPES
California MEDICAID 0PA158750

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