Dickerson, Thomas Kevin

Dickerson, Thomas Kevin is an sole proprietor health care provider with primary practice located at 2362 Washington Rd , Washington IL 61571-1855. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dickerson, Thomas Kevin can be contacted via phone (309) 745-8612.

Contact Information

Primary practice address
2362 Washington Rd Washington IL 61571-1855
Phone: (309) 745-8612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1548300163
LBN Legal business name Dickerson, Thomas Kevin
Credentials D.C., D.I.C.C.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 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.

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