Dykstra, Timothy J.

Dykstra, Timothy J. is an individual health care provider with primary practice located at 2315 8Th St , Lewiston ID 83501-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dykstra, Timothy J. can be contacted via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O-216 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OP00001634 Washington

Profile Details

NPI number 1376592758
LBN Legal business name Dykstra, Timothy J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 8th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376592758 NPPES
Idaho MEDICAID 1376592758
Idaho Other 1301846
Idaho MEDICAID 1008949
Idaho Other 128877
Idaho Other 1376592758
Idaho Other 110184432
Idaho Other S3028

Popular Providers