Dickerson, John Andrew
Dickerson, John Andrew is an sole proprietor health care provider with primary practice located at 609 South Faith Street , Plattsburg MO 64477-1507. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dickerson, John Andrew can be contacted via phone (816) 592-1591.Contact Information
Primary practice address
609 South Faith Street
Plattsburg MO 64477-1507
Phone: (816) 592-1591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2019038963 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2023039684 | Missouri |
Profile Details
| NPI number | 1093357766 |
|---|---|
| LBN Legal business name | Dickerson, John Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2019 |
| Last updated | Oct 23rd, 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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