Dickerson, Andrew Burton
Dickerson, Andrew Burton is an individual health care provider with primary practice located at 3030 Childrens Way , San Diego CA 92123-4232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Dickerson, Andrew Burton can be contacted via phone (858) 966-4003.Contact Information
Primary practice address
3030 Childrens Way
San Diego CA 92123-4232
Phone: (858) 966-4003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A164904 | California |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | A164904 | California |
Profile Details
| NPI number | 1063916633 |
|---|---|
| LBN Legal business name | Dickerson, Andrew Burton |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2018 |
| Last updated | Apr 25th, 2024 - about 2 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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