Dickerson, William John

Dickerson, William John is an sole proprietor health care provider with primary practice located at 4302 W Broward Blvd Suite 200, Plantation FL 33317-3780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dickerson, William John can be contacted via phone (954) 771-3433.

Contact Information

Primary practice address
4302 W Broward Blvd Suite 200 Plantation FL 33317-3780
Phone: (954) 771-3433
Fax: (954) 771-9911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME64924 Florida

Profile Details

NPI number 1861448607
LBN Legal business name Dickerson, William John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Feb 18th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861448607 NPPES
Florida MEDICAID 2719029 00
Florida Other 52084

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