Dickerman, Jane

Dickerman, Jane is an individual health care provider with primary practice located at 91 Central St Suite B, Norwood MA 02062-3551. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Dickerman, Jane can be contacted via phone (781) 501-5650.

Contact Information

Primary practice address
91 Central St Suite B Norwood MA 02062-3551
Phone: (781) 501-5650
Fax: (781) 501-5659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 58656 Massachusetts

Profile Details

NPI number 1245216175
LBN Legal business name Dickerman, Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 17th, 2012 - about 14 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 1245216175 NPPES
Massachusetts MEDICAID 3028143
Massachusetts Other 7017
Massachusetts Other 0003391
Massachusetts Other 180011813
Massachusetts Other 08-00023
Massachusetts Other 08-02010
Massachusetts Other 15185
Massachusetts Other 4864216-002

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