Dicken Pa

LBN: Dicken Pa
Dicken Pa is an health care organization with primary practice located at 1720 Highway 59 Southeast Suite 1, Thief River Falls MN 56701-0505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Dicken Pa can be contacted via phone (218) 681-3300, or through Dicken, Robert A via phone (218) 681-3300.

Contact Information

Primary practice address
1720 Highway 59 Southeast Suite 1 Thief River Falls MN 56701-0505
Phone: (218) 681-3300
Fax: (218) 681-6733
Website:
Map and Directions
Authorized official contact:
Name: Dicken, Robert A
Phone: (218) 681-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1295808582
LBN Legal business name Dicken Pa
DBA Doing business as
Authorized official Dicken, Robert A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295808582 NPPES
Other 880931027628 PREFERRED ONE
Other 17986 PREFERRED ONE
Other 0824440 PREFERRED ONE

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