Van Dyke, Christopher

Van Dyke, Christopher is an sole proprietor health care provider with primary practice located at 1909 Commerce Ave , Cullman AL 35055-6151. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Van Dyke, Christopher can be contacted via phone (256) 734-4688.

Contact Information

Primary practice address
1909 Commerce Ave Cullman AL 35055-6151
Fax: (256) 736-5638
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1104963438
LBN Legal business name Van Dyke, Christopher
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1104963438 NPPES
Alabama Other 51507586VAN BCBS

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