Van Dyke, Craig

Van Dyke, Craig is an individual health care provider with primary practice located at 401 Parnassus Ave , San Francisco CA 94143-2211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Van Dyke, Craig can be contacted via phone (415) 476-7730.

Contact Information

Primary practice address
401 Parnassus Ave San Francisco CA 94143-2211
Phone: (415) 476-7730
Fax: (415) 476-7320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G24832 California

Profile Details

NPI number 1164486213
LBN Legal business name Van Dyke, Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2007 - about 19 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 1164486213 NPPES
California MEDICAID 0G2483200

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