Van Dyck, Philip

Van Dyck, Philip is an individual health care provider with primary practice located at 1230 Baxter St , Athens GA 30606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Van Dyck, Philip can be contacted via phone (706) 548-7581.

Contact Information

Primary practice address
1230 Baxter St Athens GA 30606
Phone: (706) 548-7581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16193 Georgia

Profile Details

NPI number 1518945856
LBN Legal business name Van Dyck, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 8th, 2007 - 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.

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