Dyer, Jonathan A
Dyer, Jonathan A is an individual health care provider with primary practice located at 1101 Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Dyer, Jonathan A can be contacted via phone (573) 882-4800.Contact Information
Primary practice address
1101 Hospital Dr
Columbia MO 65212-0001
Phone: (573) 882-4800
Fax: (573) 884-5947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2001014980 | Missouri |
Profile Details
| NPI number | 1376591073 |
|---|---|
| LBN Legal business name | Dyer, Jonathan A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 14th, 2022 - about 4 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 | 1376591073 | NPPES |
| Missouri | Other | 189164 | BLUE SHIELD/BLUE CHOICE |
| Missouri | Other | 658400 | BLUE SHIELD/BLUE CHOICE |
| Missouri | MEDICAID | 209312404 | BLUE SHIELD/BLUE CHOICE |
| Missouri | Other | 300639 | BLUE SHIELD/BLUE CHOICE |
Popular Providers
-
Edison, Karen E
1020 Hitt Street , Columbia MO 65212-0001 -
Taylor, Trisha Alane
401 Keene St , Columbia MO 65201-6625 -
Roller, James A
1020 Hitt St , Columbia MO 65212-0001 -
Zurowski, Susan Marie
1000 W Nifong Blvd Ste 150 , Columbia MO 65203-5615 -
Welch, Justin Luke
401 Keene St , Columbia MO 65201-6625 -
Tergin, Helen Filo
401 N Keene St , Columbia MO 65201 -
Ailor, Susan K
115 Business Loop 70 W , Columbia MO 65201 -
North, Jeffrey Paul
1101 Hospital Drive , Columbia MO 65212-0001