Dykstra, Edward A
Dykstra, Edward A is an individual health care provider with primary practice located at 2751 Northgate Dr , Iowa City IA 52245-9509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dykstra, Edward A can be contacted via phone (319) 338-3606.Contact Information
Primary practice address
2751 Northgate Dr
Iowa City IA 52245-9509
Phone: (319) 338-3606
Fax: (319) 338-0522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 21101 | Iowa |
Profile Details
| NPI number | 1194791806 |
|---|---|
| LBN Legal business name | Dykstra, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Oct 23rd, 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 | 1194791806 | NPPES |
| Iowa | MEDICAID | 1150102 | |
| Iowa | Other | 15010 |
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