Dykstra, Jennifer Rebecca

Dykstra, Jennifer Rebecca is an individual health care provider with primary practice located at 550 Munson Ave Suite G100, Traverse City MI 49686-3580. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dykstra, Jennifer Rebecca can be contacted via phone (231) 935-8730.

Contact Information

Primary practice address
550 Munson Ave Suite G100 Traverse City MI 49686-3580
Phone: (231) 935-8730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302031831 Michigan

Profile Details

NPI number 1720136955
LBN Legal business name Dykstra, Jennifer Rebecca
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers