Dickerson, Patricia A
Dickerson, Patricia A is an sole proprietor health care provider with primary practice located at 1299 E Alex Bell Rd , Centerville OH 45459-2658. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Dickerson, Patricia A can be contacted via phone (937) 436-1117.Contact Information
Primary practice address
1299 E Alex Bell Rd
Centerville OH 45459-2658
Phone: (937) 436-1117
Fax: (937) 436-9576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 350554000 | Ohio |
Profile Details
| NPI number | 1336132950 |
|---|---|
| LBN Legal business name | Dickerson, Patricia A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Nov 5th, 2012 - about 14 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 | 1336132950 | NPPES |
| Ohio | MEDICAID | 0866648 |
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