Dickerson, Scott
Dickerson, Scott is an individual health care provider with primary practice located at 10 Parsonage Rd Ste 508 , Edison NJ 08837-2475. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Dickerson, Scott can be contacted via phone (732) 906-1144.Contact Information
Primary practice address
10 Parsonage Rd Ste 508
Edison NJ 08837-2475
Phone: (732) 906-1144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1255454591 |
|---|---|
| LBN Legal business name | Dickerson, Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1255454591 | NPPES |
| New Jersey | Other | 40QB00161000 | LICENSE# |
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