Dykhuizen, Matthew J

Dykhuizen, Matthew J is an individual health care provider with primary practice located at 2865 Chancellor Dr Suite 215, Crestview Hills KY 41017-3912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Dykhuizen, Matthew J can be contacted via phone (859) 344-2079.

Contact Information

Primary practice address
2865 Chancellor Dr Suite 215 Crestview Hills KY 41017-3912
Phone: (859) 344-2079
Fax: (859) 581-7207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35.128411 Ohio
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 46137 Kentucky
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 35.128411 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 46137 Kentucky

Profile Details

NPI number 1609004308
LBN Legal business name Dykhuizen, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Nov 28th, 2018 - about 6 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 1609004308 NPPES
Ohio MEDICAID 0110825
Ohio MEDICAID 7100243970

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