Vandyke, Bryan

Vandyke, Bryan is an individual health care provider with primary practice located at 2321 Coronado St , Idaho Falls ID 83404-7407. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Vandyke, Bryan can be contacted via phone (208) 227-1100.

Contact Information

Primary practice address
2321 Coronado St Idaho Falls ID 83404-7407
Phone: (208) 227-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X O-1166 Idaho

Profile Details

NPI number 1285990374
LBN Legal business name Vandyke, Bryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated Jan 23rd, 2019 - about 6 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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