Dykstra, Patricia Anne
Dykstra, Patricia Anne is an individual health care provider with primary practice located at 597 Merrimack St Lowell Community Health Center, Lowell MA 01854. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Dykstra, Patricia Anne can be contacted via phone (978) 937-9700.Contact Information
Primary practice address
597 Merrimack St Lowell Community Health Center
Lowell MA 01854
Phone: (978) 937-9700
Fax: (978) 446-9830
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 77409 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 77409 | Massachusetts |
Profile Details
NPI number | 1851365035 |
---|---|
LBN Legal business name | Dykstra, Patricia Anne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Jul 30th, 2008 - 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 | 1851365035 | NPPES |
Other | 042881348 | BEECH STREET | |
Other | 1339 | BEECH STREET | |
Other | 6469876 | BEECH STREET | |
Other | 204699 | BEECH STREET | |
Other | 9204204 | BEECH STREET | |
Other | 731688 | BEECH STREET | |
Other | J14028 | BEECH STREET | |
Other | 22397 | BEECH STREET | |
Other | 979892 | BEECH STREET | |
Other | 3437455 | BEECH STREET | |
Other | 042881348 | BEECH STREET | |
MEDICAID | 1305557 | BEECH STREET | |
Other | 042881348 | BEECH STREET |
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