Dicke, Jeffrey M

Dicke, Jeffrey M is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Obgyn Mfm And Us, Ste 710, Saint Louis MO 63108-1495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Dicke, Jeffrey M can be contacted via phone (314) 454-8181.

Contact Information

Primary practice address
4901 Forest Park Ave Div Obgyn Mfm And Us, Ste 710 Saint Louis MO 63108-1495
Phone: (314) 454-8181
Fax: (314) 747-1429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X R2H56 Missouri

Profile Details

NPI number 1982622437
LBN Legal business name Dicke, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982622437 NPPES
Missouri MEDICAID 202486403

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