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
Phone: (703) 792-7800
Fax: (703) 792-5699
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356468102 | NPPES |
Virginia | MEDICAID | 4945247 | |
Virginia | Other | 235344 | |
Virginia | Other | 294394 |
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