Todd Bryan Dykstra in Pollocksville - Physician Assistant
Todd Bryan Dykstra - NPI 1154373983
Todd Bryan Dykstra is a Physician Assistant in Pollocksville, North Carolina. Todd Bryan Dykstra practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Todd Bryan Dykstra is 1154373983. The last update date is 2022-08-01.
Todd Bryan Dykstra's current location address is Po Box 68, Pollocksville, North Carolina. You can contact this provider via phone number 2526384023 and fax number 2526332833. The mailing address for Todd Bryan Dykstra is Po Box 68, Pollocksville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Bryan Dykstra |
|---|---|
| Address | Po Box 68, Pollocksville, North Carolina |
| Phone Number | 2526384023 |
| Fax Number | 2526332833 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1154373983 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2022-08-01 |
Provider Mailing Address Detail
| Address | Po Box 68 |
|---|---|
| City | Pollocksville |
| State | North Carolina (NC) |
| Post Code | 285730068 |
| Phone Number | 2526384023 |
| Fax Number | 2526332833 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 009787-1 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2970441 | NY | -- | |
| 101220000005 | NY | FIDELIS |
Post Comment/ Review Below
What is the unique identification code assigned to Todd Bryan Dykstra by the Centers for Medicare & Medicaid Services?
The Todd Bryan Dykstra has been issued the NPI (National Provider Identifier) 1154373983. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Todd Bryan Dykstra?
The Todd Bryan Dykstra is physically situated at Po Box 68, in the city of Pollocksville, state of NC, with the postal code 285730068.
What is Todd Bryan Dykstra's specialized field of practice, and what is the corresponding taxonomy classification code?
The Todd Bryan Dykstra's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Todd Bryan Dykstra receive its 1154373983 assignment?
The Todd Bryan Dykstra was assigned its 1154373983 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Todd Bryan Dykstra last refreshed?
The information related to the Todd Bryan Dykstra, including its address, specialty, and other relevant details, was last updated on 2022-08-01.