Provider Demographics
NPI:1568790376
Name:DK CONSULTANTS LLC
Entity Type:Organization
Organization Name:DK CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:C
Authorized Official - Last Name:DIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-318-8486
Mailing Address - Street 1:145 DURHAM RD
Mailing Address - Street 2:BOX 7 SUITE 10
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2674
Mailing Address - Country:US
Mailing Address - Phone:203-318-8486
Mailing Address - Fax:203-404-4934
Practice Address - Street 1:145 DURHAM RD
Practice Address - Street 2:BOX 7 SUITE 10
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2674
Practice Address - Country:US
Practice Address - Phone:203-318-8486
Practice Address - Fax:203-404-4934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0393012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty