Dykstra, Gary T.

Dykstra, Gary T. is an individual health care provider with primary practice located at 3400 Se Frank Phillips #502 , Bartlesville OK 74006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dykstra, Gary T. can be contacted via phone (918) 331-2577.

Contact Information

Primary practice address
3400 Se Frank Phillips #502 Bartlesville OK 74006
Phone: (918) 331-2577
Fax: (918) 331-2513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3077 Oklahoma
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0524469 Kansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 05-24469 Kansas

Profile Details

NPI number 1033172192
LBN Legal business name Dykstra, Gary T.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Nov 4th, 2011 - about 14 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 1033172192 NPPES
Oklahoma MEDICAID 100106620A
Oklahoma MEDICAID 101863

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