Dykstra, Todd Bryan

Dykstra, Todd Bryan is an individual health care provider with primary practice located at 2604 Dr Martin Luther King Jr Blvd , New Bern NC 28562-4238. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dykstra, Todd Bryan can be contacted via phone (252) 638-4023.

Contact Information

Primary practice address
2604 Dr Martin Luther King Jr Blvd New Bern NC 28562-4238
Phone: (252) 638-4023
Fax: (252) 633-2833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009787-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001382 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12474 North Carolina

Profile Details

NPI number 1154373983
LBN Legal business name Dykstra, Todd Bryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 1st, 2022 - about 3 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 1154373983 NPPES
New York MEDICAID 02970441
New York Other 101220000005

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