Dykstra, Robert Scot

Dykstra, Robert Scot is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dykstra, Robert Scot can be contacted via phone (641) 621-2200.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1189
Phone: (641) 621-2200
Fax: (641) 621-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11018478A Indiana

Profile Details

NPI number 1073994059
LBN Legal business name Dykstra, Robert Scot
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Aug 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073994059 NPPES
Iowa Other DO-05210 IOWA LICENSE
Iowa MEDICAID 1073994059 IOWA LICENSE

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