Dykstra, John S.

Dykstra, John S. is an individual health care provider with primary practice located at 9501 N Oak Trfy Suite 100, Kansas City MO 64155-2256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dykstra, John S. can be contacted via phone (816) 455-0661.

Contact Information

Primary practice address
9501 N Oak Trfy Suite 100 Kansas City MO 64155-2256
Phone: (816) 455-0661
Fax: (816) 454-1080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R4721 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0516561 Kansas

Profile Details

NPI number 1720061690
LBN Legal business name Dykstra, John S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 28th, 2010 - about 16 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 1720061690 NPPES
Missouri MEDICAID 240394122
Missouri Other 2239077
Missouri Other 03870079
Missouri Other 067407
Missouri MEDICAID 100231260A

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