Dickens, Jason Andrew
Dickens, Jason Andrew is an individual health care provider with primary practice located at 11050 Mt Belvedere Blvd , Fort Drum NY 13602-2603. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Dickens, Jason Andrew can be contacted via phone (315) 772-6214.Contact Information
Primary practice address
11050 Mt Belvedere Blvd
Fort Drum NY 13602-2603
Phone: (315) 772-6214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | R3829 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101252571 | Virginia |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | R3829 | Texas |
Profile Details
| NPI number | 1619269826 |
|---|---|
| LBN Legal business name | Dickens, Jason Andrew |
| Credentials | MD, MBA, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2011 |
| Last updated | Oct 6th, 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.
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