Van Dyke, Paul Edmund

Van Dyke, Paul Edmund is an individual health care provider with primary practice located at 4801 34Th St , Sacramento CA 95820-4849. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Van Dyke, Paul Edmund can be contacted via phone (916) 737-9202.

Contact Information

Primary practice address
4801 34Th St Sacramento CA 95820-4849
Fax: (916) 737-0262
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1134466006
LBN Legal business name Van Dyke, Paul Edmund
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2013
Last updated Jan 11th, 2013 - about 13 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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