Dickens, Joel R
Dickens, Joel R is an individual health care provider with primary practice located at 6119 Midtown Ave , Little Rock AR 72205-5313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dickens, Joel R can be contacted via phone (501) 296-1800.Contact Information
Primary practice address
6119 Midtown Ave
Little Rock AR 72205-5313
Phone: (501) 296-1800
Fax: (501) 296-1711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | J1516 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 52801 | Colorado |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E-15045 | Arkansas |
Profile Details
| NPI number | 1306808910 |
|---|---|
| LBN Legal business name | Dickens, Joel R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jun 29th, 2022 - 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 | 1306808910 | NPPES |
| Texas | MEDICAID | 118592805 | |
| Texas | Other | 8P1409 |
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