Dycus, Andi Michelle

Dycus, Andi Michelle is an individual health care provider with primary practice located at 1110 13Th St Ste D , Columbus GA 31901-2246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Dycus, Andi Michelle can be contacted via phone (706) 780-1704.

Contact Information

Primary practice address
1110 13Th St Ste D Columbus GA 31901-2246
Phone: (706) 780-1704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 39388 Georgia

Profile Details

NPI number 1932741014
LBN Legal business name Dycus, Andi Michelle
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2019
Last updated Oct 10th, 2019 - about 6 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 1932741014 NPPES
Tennessee Other RBT-18-56636 RBT CERTIFICATION

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