NPI 1023385192 MR. NATHAN EDWARD DYKEMA D.P.T. ZEELAND MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Nathan Edward Dykema - NPI: 1023385192

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. NATHAN EDWARD DYKEMA
NPI Number: 1023385192
Entity Type Code: Individual (1)
Gender: M
Credentials: D.P.T.
License Number: 5501015768
Business Practice Address: 1423 60th St Se
Kentwood, MI - 495087065
Business Phone Number: 6164553535
Business Fax Number:
Mailing Address: 207 Huizenga Ave,
ZEELAND
State: MI
Postal Code: 494641635
Phone Number: 6168486656
Fax Number:
NPI Enumeration Date: 11/17/2011
NPI Last Update Date: 11/17/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2251X0800X
License Number: 5501015768
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Physical Therapist
Taxonomy Specialization: Orthopedic
Taxonomy Definition:


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