Dykstra, Bennett Jon
Dykstra, Bennett Jon is an individual health care provider with primary practice located at 1333 Surgical Services Way , Kalispell MT 59901-4844. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Dykstra, Bennett Jon can be contacted via phone (406) 752-5000.Contact Information
Primary practice address
1333 Surgical Services Way
Kalispell MT 59901-4844
Phone: (406) 752-5000
Fax: (406) 752-8220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10388 | Montana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 10388 | Montana |
Profile Details
| NPI number | 1003979550 |
|---|---|
| LBN Legal business name | Dykstra, Bennett Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Nov 27th, 2023 - about 3 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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