Vandyke, Jeffery A

Vandyke, Jeffery A is an individual health care provider with primary practice located at 565 Chaney St , Lake Elsinore CA 92530-2722. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Vandyke, Jeffery A can be contacted via phone (951) 674-5354.

Contact Information

Primary practice address
565 Chaney St Lake Elsinore CA 92530-2722
Phone: (951) 674-5354
Fax: (951) 674-5227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 01-035088 California

Profile Details

NPI number 1437283785
LBN Legal business name Vandyke, Jeffery A
Credentials C.A.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 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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