Dykstra, Mariliz Jimenez
Dykstra, Mariliz Jimenez is an sole proprietor health care provider with primary practice located at 7573 W 121St Ave , Crown Point IN 46307-8716. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Dykstra, Mariliz Jimenez can be contacted via phone (219) 895-4103.Contact Information
Primary practice address
7573 W 121St Ave
Crown Point IN 46307-8716
Phone: (219) 895-4103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 05011241A | Indiana |
Profile Details
| NPI number | 1083172233 |
|---|---|
| LBN Legal business name | Dykstra, Mariliz Jimenez |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2019 |
| Last updated | Mar 6th, 2019 - about 5 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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