Van Dyke, Byron James
Van Dyke, Byron James is an sole proprietor health care provider with primary practice located at 1158 N Court St , Redding CA 96001-0436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Van Dyke, Byron James can be contacted via phone (530) 247-7546.Contact Information
Primary practice address
1158 N Court St
Redding CA 96001-0436
Phone: (530) 247-7546
Fax: (530) 247-7228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A69012 | California |
Profile Details
| NPI number | 1821084443 |
|---|---|
| LBN Legal business name | Van Dyke, Byron James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Feb 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821084443 | NPPES |
| California | MEDICAID | 00A690120 |
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