Dykes, Mary J
Dykes, Mary J is an individual health care provider with primary practice located at 971 11Th Ave , Longview WA 98632-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dykes, Mary J can be contacted via phone (360) 577-1771.Contact Information
Primary practice address
971 11Th Ave
Longview WA 98632-2503
Phone: (360) 577-1771
Fax: (360) 423-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | AP30003151 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | RN00070552 | Washington |
Profile Details
| NPI number | 1740229004 |
|---|---|
| LBN Legal business name | Dykes, Mary J |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Apr 26th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740229004 | NPPES |
| Washington | MEDICAID | 9609876 |
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