Van Dyke, Dorris H
Van Dyke, Dorris H is an sole proprietor health care provider with primary practice located at 425 Broadway St , Paducah KY 42001-0713. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Van Dyke, Dorris H can be contacted via phone (240) 442-7121.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 104255 | Kentucky |
Profile Details
| NPI number | 1538222328 |
|---|---|
| LBN Legal business name | Van Dyke, Dorris H |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jun 10th, 2024 - about last year |
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 | 1538222328 | NPPES |
| Kentucky | Other | KY-0571 | LPCC |
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