Dickess, Jerry D
Dickess, Jerry D is an sole proprietor health care provider with primary practice located at 613 23Rd St Ste G10 , Ashland KY 41101-2886. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dickess, Jerry D can be contacted via phone (064) 085-8646.Contact Information
Primary practice address
613 23Rd St Ste G10
Ashland KY 41101-2886
Phone: (064) 085-8646
Fax: (606) 408-6499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.005673 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2449 | Kentucky |
Profile Details
| NPI number | 1033697990 |
|---|---|
| LBN Legal business name | Dickess, Jerry D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2018 |
| Last updated | May 24th, 2022 - about 4 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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