Vandyke, John Joseph
Vandyke, John Joseph is an individual health care provider with primary practice located at 959 E Walnut St Suite 120, Pasadena CA 91106-1451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Vandyke, John Joseph can be contacted via phone (626) 795-5118.Contact Information
Primary practice address
959 E Walnut St Suite 120
Pasadena CA 91106-1451
Phone: (626) 795-5118
Fax: (626) 795-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A20717 | California |
Profile Details
| NPI number | 1225005192 |
|---|---|
| LBN Legal business name | Vandyke, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 3rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225005192 | NPPES |
| California | MEDICAID | 00A207170 |
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