Van Dyke, Michael
Van Dyke, Michael is an sole proprietor health care provider with primary practice located at 275 Hospital Dr , Ukiah CA 95482-4531. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Van Dyke, Michael can be contacted via phone (707) 462-7900.Contact Information
Primary practice address
275 Hospital Dr
Ukiah CA 95482-4531
Phone: (707) 462-7900
Fax: (707) 462-7947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA12445 | California |
Profile Details
| NPI number | 1659578383 |
|---|---|
| LBN Legal business name | Van Dyke, Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 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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