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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609004308 | NPPES |
| Ohio | MEDICAID | 0110825 | |
| Ohio | MEDICAID | 7100243970 |
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