Dicken, Donald George
Dicken, Donald George is an individual health care provider with primary practice located at 1200 North 14Th Avenue Suite 275, Pasco WA 99301-4079. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dicken, Donald George can be contacted via phone (509) 545-0414.Contact Information
Primary practice address
1200 North 14Th Avenue Suite 275
Pasco WA 99301-4079
Phone: (509) 545-0414
Fax: (509) 545-9398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00028507 | Washington |
Profile Details
| NPI number | 1649334236 |
|---|---|
| LBN Legal business name | Dicken, Donald George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Oct 11th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649334236 | NPPES |
| Washington | MEDICAID | 1110584 | |
| Washington | Other | 56275 |
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