Dykema, Paul
Dykema, Paul is an individual health care provider with primary practice located at 926 S Washington Ave , Holland MI 49423-7725. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dykema, Paul can be contacted via phone (616) 393-0166.Contact Information
Primary practice address
926 S Washington Ave
Holland MI 49423-7725
Phone: (616) 393-0166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301025812 | Michigan |
Profile Details
| NPI number | 1053384636 |
|---|---|
| LBN Legal business name | Dykema, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1053384636 | NPPES |
| Michigan | Other | 4301025812 | BOARD OF PHARMACY |
| Michigan | Other | 4301025812 | BOARD OF PHARMACY |
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