Dyke, Michelle L
Dyke, Michelle L is an individual health care provider with primary practice located at 137 Main St , Medford MA 02155-4522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dyke, Michelle L can be contacted via phone (781) 395-4761.Contact Information
Primary practice address
137 Main St
Medford MA 02155-4522
Phone: (781) 395-4761
Fax: (781) 395-5081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 269619 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 269619 | Massachusetts |
Profile Details
| NPI number | 1790123347 |
|---|---|
| LBN Legal business name | Dyke, Michelle L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Dec 13th, 2021 - about 3 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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