Dykstra, Timothy C.

Dykstra, Timothy C. is an individual health care provider with primary practice located at 307 E Scenic Valley Ave , Indianola IA 50125-4865. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dykstra, Timothy C. can be contacted via phone (515) 961-8448.

Contact Information

Primary practice address
307 E Scenic Valley Ave Indianola IA 50125-4865
Phone: (515) 961-8448
Fax: (515) 643-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31362 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31362 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-31362 Iowa

Profile Details

NPI number 1043206113
LBN Legal business name Dykstra, Timothy C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jan 8th, 2019 - about 7 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 1043206113 NPPES
Iowa Other 1043206113 NPI
Iowa Other 56091003 NPI

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