Dickens, Robert A

Dickens, Robert A is an sole proprietor health care provider with primary practice located at 4555 W Schroeder Dr Suite 170, Milwaukee WI 53223-1475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dickens, Robert A can be contacted via phone (414) 365-3210.

Contact Information

Primary practice address
4555 W Schroeder Dr Suite 170 Milwaukee WI 53223-1475
Phone: (414) 365-3210
Fax: (414) 365-3225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30285020 Wisconsin

Profile Details

NPI number 1831173673
LBN Legal business name Dickens, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Jun 12th, 2008 - about 18 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 1831173673 NPPES
Wisconsin MEDICAID 31523800

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