Dickerson, Madeline Mccluer
Dickerson, Madeline Mccluer is an individual health care provider with primary practice located at 800 5Th Ave Ste 500 , Fort Worth TX 76104-7304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Dickerson, Madeline Mccluer can be contacted via phone (817) 250-4280.Contact Information
Primary practice address
800 5Th Ave Ste 500
Fort Worth TX 76104-7304
Phone: (817) 250-4280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP126665 | Texas |
Profile Details
| NPI number | 1104220029 |
|---|---|
| LBN Legal business name | Dickerson, Madeline Mccluer |
| Credentials | AG-ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2014 |
| Last updated | Feb 21st, 2022 - about 4 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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