Dickerson, Burton R

Dickerson, Burton R is an individual health care provider with primary practice located at 111 E Main St , Elkton MD 21921-5996. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dickerson, Burton R can be contacted via phone (443) 406-3234.

Contact Information

Primary practice address
111 E Main St Elkton MD 21921-5996
Fax: (443) 406-3234
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1421 Maryland

Profile Details

NPI number 1386150639
LBN Legal business name Dickerson, Burton R
Credentials SUBSTANCE ABUSE ADT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2017
Last updated Dec 22nd, 2017 - about 9 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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