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Contact Information

BRADLEY D VANDYKE, D.C.
1779 LOVERS GAP ROAD
VANSANT, VA24656
 Phone: 276-597-8387
 Fax: 276-597-2154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRADLEY D VANDYKE · (Male)

NPI Number 1013981356
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 02/14/2006
Last updated 11/28/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0104001184
  • WV Medicaid 7600037000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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