Dickerman, Sheila R

Dickerman, Sheila R is an individual health care provider with primary practice located at 23 North St Ste 2 , Presque Isle ME 04769-2295. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dickerman, Sheila R can be contacted via phone (207) 760-9278.

Contact Information

Primary practice address
23 North St Ste 2 Presque Isle ME 04769-2295
Phone: (207) 760-9278
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105799 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2079 Maine

Profile Details

NPI number 1104119874
LBN Legal business name Dickerman, Sheila R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2011
Last updated Aug 16th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104119874 NPPES
Florida MEDICAID 013054000

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