Dykes, Reno Jackson

Dykes, Reno Jackson is an sole proprietor health care provider with primary practice located at 7969 Ashton Ave , Manassas VA 20109-2885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dykes, Reno Jackson can be contacted via phone (703) 792-7800.

Contact Information

Primary practice address
7969 Ashton Ave Manassas VA 20109-2885
Fax: (703) 792-5699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101022041 Virginia

Profile Details

NPI number 1356468102
LBN Legal business name Dykes, Reno Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1356468102 NPPES
Virginia MEDICAID 4945247
Virginia Other 235344
Virginia Other 294394

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