Dykstra, Brian J

Dykstra, Brian J is an individual health care provider with primary practice located at 1234 Napier Ave , Saint Joseph MI 49085-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Dykstra, Brian J can be contacted via phone (269) 985-4632.

Contact Information

Primary practice address
1234 Napier Ave Saint Joseph MI 49085-2112
Phone: (269) 985-4632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301058528 Michigan

Profile Details

NPI number 1346225752
LBN Legal business name Dykstra, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 11th, 2021 - about 5 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 1346225752 NPPES
Michigan MEDICAID 1346225752
Michigan Other CA4396
Michigan MEDICAID 4517335

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