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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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