Dicken, Robert A
Dicken, Robert A is an individual health care provider with primary practice located at 404 Hwy 2 E , Devils Lake ND 58301-0130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dicken, Robert A can be contacted via phone (701) 662-4085.Contact Information
Primary practice address
404 Hwy 2 E
Devils Lake ND 58301-0130
Phone: (701) 662-4085
Fax: (701) 662-6010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5595 | North Dakota |
Profile Details
| NPI number | 1568554285 |
|---|---|
| LBN Legal business name | Dicken, Robert A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Dec 22nd, 2023 - about 3 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 | 1568554285 | NPPES |
| Other | 292T7DI | BLUE SHIELD MN | |
| Other | 180043931 | BLUE SHIELD MN | |
| MEDICAID | 11630 | BLUE SHIELD MN | |
| Other | 18005266 | BLUE SHIELD MN | |
| MEDICAID | 1568554285 | BLUE SHIELD MN |
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