Van Dyke, James Martin

Van Dyke, James Martin is an individual health care provider with primary practice located at 110 S Church St , New Carlisle OH 45344-1902. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Van Dyke, James Martin can be contacted via phone (937) 845-0260.

Contact Information

Primary practice address
110 S Church St New Carlisle OH 45344-1902
Phone: (937) 845-0260
Fax: (937) 845-0262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT003617 Ohio

Profile Details

NPI number 1528019338
LBN Legal business name Van Dyke, James Martin
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 19th, 2008 - 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 1528019338 NPPES
Ohio MEDICAID 2627385

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