Hedrick, Dylan

Hedrick, Dylan is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. 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. Hedrick, Dylan can be contacted via phone (309) 779-3048.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-3048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Illinois

Profile Details

NPI number 1447226048
LBN Legal business name Hedrick, Dylan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Feb 28th, 2008 - about 18 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 1447226048 NPPES
Other 95201 BCWELLMARK WEST
Other IL0181 BCWELLMARK WEST
Other 362739299001 BCWELLMARK WEST
Other 94217 BCWELLMARK WEST
Other 362739299014 BCWELLMARK WEST

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