Jennifer B Dykhouse in Grand Rapids - Medical
Jennifer B Dykhouse - NPI 1881769321
Jennifer B Dykhouse is a Medical in Grand Rapids, Michigan. Jennifer B Dykhouse practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer B Dykhouse is 1881769321. The last update date is 2023-05-23.
Jennifer B Dykhouse's current location address is 743 E Beltline Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164569553 and fax number 6164545371. The mailing address for Jennifer B Dykhouse is 743 E Beltline Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer B Dykhouse |
|---|---|
| Address | 743 E Beltline Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164569553 |
| Fax Number | 6164545371 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1881769321 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2023-05-23 |
Provider Mailing Address Detail
| Address | 743 E Beltline Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256045 |
| Phone Number | 6164569553 |
| Fax Number | 6164545371 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601004859 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601004859 | MI | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jennifer B Dykhouse by the Centers for Medicare & Medicaid Services?
The Jennifer B Dykhouse has been issued the NPI (National Provider Identifier) 1881769321. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jennifer B Dykhouse is geographically located?
The Jennifer B Dykhouse is physically situated at the following location: 743 E Beltline Ave Ne, Grand Rapids, MI, 495256045.
What is Jennifer B Dykhouse's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer B Dykhouse's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Jennifer B Dykhouse receive its 1881769321 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer B Dykhouse was assigned its 1881769321 by the Centers for Medicare & Medicaid Services on 2006-11-21.
As of what date were the details related to Jennifer B Dykhouse most recently updated or revised?
The information pertaining to Jennifer B Dykhouse, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-23.