Dickerson, David P
Dickerson, David P is an sole proprietor health care provider with primary practice located at 3705 N Harrison St , Shawnee OK 74804-2223. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dickerson, David P can be contacted via phone (405) 273-6822.Contact Information
Primary practice address
3705 N Harrison St
Shawnee OK 74804-2223
Phone: (405) 273-6822
Fax: (888) 413-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2916 | Colorado |
| Chiropractic Providers / Chiropractor | 111N00000X | 4127 | Oklahoma |
Profile Details
| NPI number | 1396801692 |
|---|---|
| LBN Legal business name | Dickerson, David P |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Apr 14th, 2021 - about 5 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 | 1396801692 | NPPES |
| Colorado | Other | C26033 | MEDICARE LEGACY |
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