Mims, Dyshai
Mims, Dyshai is an sole proprietor health care provider with primary practice located at 182 Hanover St , Bridgeport CT 06604-3706. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Mims, Dyshai can be contacted via phone (203) 572-6265.Contact Information
Primary practice address
182 Hanover St
Bridgeport CT 06604-3706
Phone: (203) 572-6265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X | NA9988429 | Connecticut |
Profile Details
| NPI number | 1598281503 |
|---|---|
| LBN Legal business name | Mims, Dyshai |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2017 |
| Last updated | Aug 21st, 2017 - about 9 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 | 1598281503 | NPPES |
| Connecticut | MEDICAID | 065775 |
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