Van Dyke, Anne
Van Dyke, Anne is an sole proprietor health care provider with primary practice located at 4171 Nathan W , Sterling Hts MI 48310-2650. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is her primary health care specialty. Van Dyke, Anne can be contacted via phone (248) 660-5034.Contact Information
Primary practice address
4171 Nathan W
Sterling Hts MI 48310-2650
Phone: (248) 660-5034
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6301005409 | Michigan |
Behavioral Health & Social Service Providers / Health | 103TH0004X | 6301005409 | Michigan |
Profile Details
NPI number | 1396712238 |
---|---|
LBN Legal business name | Van Dyke, Anne |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 28th, 2006 |
Last updated | Oct 15th, 2020 - about 4 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 | 1396712238 | NPPES |
Michigan | Other | 680F371350 | BCBSM |
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