Dykstra, Carrie L

Dykstra, Carrie L is an individual health care provider with primary practice located at 1550 Boyson Rd , Hiawatha IA 52233-2362. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Dykstra, Carrie L can be contacted via phone (319) 743-7300.

Contact Information

Primary practice address
1550 Boyson Rd Hiawatha IA 52233-2362
Phone: (319) 743-7300
Fax: (319) 743-7311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33937 Iowa
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 33937 Iowa

Profile Details

NPI number 1922088079
LBN Legal business name Dykstra, Carrie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jan 18th, 2024 - about 11 months 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 1922088079 NPPES
Iowa MEDICAID 242586

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