Dickerson, Erica John
Dickerson, Erica John is an individual health care provider with primary practice located at 232 S Woods Mill Rd , Chesterfield MO 63017-3417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dickerson, Erica John can be contacted via phone (314) 542-4897.Contact Information
Primary practice address
232 S Woods Mill Rd
Chesterfield MO 63017-3417
Phone: (314) 542-4897
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006023676 | Missouri |
Profile Details
| NPI number | 1962571455 |
|---|---|
| LBN Legal business name | Dickerson, Erica John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Mar 2nd, 2009 - about 17 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 | 1962571455 | NPPES |
| Missouri | MEDICAID | 207397308 |
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