Vandyke, Dezie

Vandyke, Dezie is an individual health care provider with primary practice located at 900 Columbia Ln , Provo UT 84604-1320. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Vandyke, Dezie can be contacted via phone (801) 375-4240.

Contact Information

Primary practice address
900 Columbia Ln Provo UT 84604-1320
Phone: (801) 375-4240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1508211830
LBN Legal business name Vandyke, Dezie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2016
Last updated Apr 23rd, 2016 - about 9 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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