Dickerson, Rachel Anne

Dickerson, Rachel Anne is an sole proprietor health care provider with primary practice located at 111 Prospect Ave Ste 202A , Kirkwood MO 63122-6067. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dickerson, Rachel Anne can be contacted via phone (314) 394-2973.

Contact Information

Primary practice address
111 Prospect Ave Ste 202A Kirkwood MO 63122-6067
Phone: (314) 394-2973
Fax: (785) 414-5373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2012012812 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012012812 Missouri

Profile Details

NPI number 1174797427
LBN Legal business name Dickerson, Rachel Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2008
Last updated May 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174797427 NPPES
Missouri MEDICAID 1174797427

Popular Providers