Dickens, Jessie James
Dickens, Jessie James is an individual health care provider with primary practice located at 5615 Deauville Blvd Ste 220, Midland TX 79706-2870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dickens, Jessie James can be contacted via phone (432) 686-0321.Contact Information
Primary practice address
5615 Deauville Blvd Ste 220
Midland TX 79706-2870
Phone: (432) 686-0321
Fax: (432) 686-0664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 15765 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A135648 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | P6377 | Texas |
Profile Details
| NPI number | 1215254156 |
|---|---|
| LBN Legal business name | Dickens, Jessie James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2010 |
| Last updated | Sep 8th, 2020 - about 6 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 | 1215254156 | NPPES |
| Texas | Other | P6377 | STATE LICENSE |
| Texas | Other | 1215254156 | STATE LICENSE |
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