Dickens, Martha D

Dickens, Martha D is an individual health care provider with primary practice located at 1190 N State St Suite 201, Jackson MS 39202-2413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dickens, Martha D can be contacted via phone (601) 973-1624.

Contact Information

Primary practice address
1190 N State St Suite 201 Jackson MS 39202-2413
Phone: (601) 973-1624
Fax: (601) 973-1596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10686 Mississippi

Profile Details

NPI number 1770552135
LBN Legal business name Dickens, Martha D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 16th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770552135 NPPES
Mississippi Other 753068151 MS HEALTH PARTNERS

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