Dykes, Gary Wayne
Dykes, Gary Wayne is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dykes, Gary Wayne can be contacted via phone (706) 549-1663.Contact Information
Primary practice address
1765 Old West Broad St
Athens GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT005234 | Georgia |
Profile Details
| NPI number | 1902957194 |
|---|---|
| LBN Legal business name | Dykes, Gary Wayne |
| Credentials | PT, MDT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Mar 8th, 2024 - about 2 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 | 1902957194 | NPPES |
| Other | 11622539 | CAQH NUMBER |
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