Van Dyke, Craig
Van Dyke, Craig is an individual health care provider with primary practice located at 401 Parnassus Ave , San Francisco CA 94143-2211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Van Dyke, Craig can be contacted via phone (415) 476-7730.Contact Information
Primary practice address
401 Parnassus Ave
San Francisco CA 94143-2211
Phone: (415) 476-7730
Fax: (415) 476-7320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G24832 | California |
Profile Details
| NPI number | 1164486213 |
|---|---|
| LBN Legal business name | Van Dyke, Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164486213 | NPPES |
| California | MEDICAID | 0G2483200 |
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