Dickert, Benjamin C.

Dickert, Benjamin C. is an individual health care provider with primary practice located at 222 Carew St Ste 101, Springfield MA 01104-4105. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dickert, Benjamin C. can be contacted via phone (413) 736-3225.

Contact Information

Primary practice address
222 Carew St Ste 101 Springfield MA 01104-4105
Phone: (413) 736-3225
Fax: (413) 736-3382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PD1884 Massachusetts

Profile Details

NPI number 1760599815
LBN Legal business name Dickert, Benjamin C.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated May 7th, 2018 - about 8 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 1760599815 NPPES
Massachusetts MEDICAID 0362663
Massachusetts Other 0774440001

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