Dykstra, Jordan Andrew
Dykstra, Jordan Andrew is an individual health care provider with primary practice located at 3901 Rainbow Blvd , Kansas City KS 66160-1554. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Dykstra, Jordan Andrew can be contacted via phone (913) 588-4852.Contact Information
Primary practice address
3901 Rainbow Blvd
Kansas City KS 66160-1554
Phone: (913) 588-4852
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 94-10853 | Kansas |
Profile Details
NPI number | 1336775402 |
---|---|
LBN Legal business name | Dykstra, Jordan Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2020 |
Last updated | May 14th, 2022 - about 2 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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