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Contact Information

JEROMY DYER
973 MICA DRIVE
SUITE 201
CARSON CITY, NV89705-7255
 Phone: 775-783-6190
 Fax: 775-783-6191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEROMY DYER · (Male)

NPI # 1003927633
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 07/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA15875
  • NV License # PA0335
  • CA Medicaid 0PA158750
Hospital affiliation(s)
  • CARSON TAHOE REGIONAL MEDICAL CENTER - (Acute Care)
    1600 MEDICAL PARKWAY
    CARSON CITY, NV 89703
  • CARSON VALLEY MEDICAL CENTER - (Critical Access)
    1107 HIGHWAY 395
    GARDNERVILLE, NV 89410
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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