Dickey, John Hanford
Dickey, John Hanford is an sole proprietor health care provider with primary practice located at 465 Memorial Dr , Pocatello ID 83201-4008. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dickey, John Hanford can be contacted via phone (208) 282-4700.Contact Information
Primary practice address
465 Memorial Dr
Pocatello ID 83201-4008
Phone: (208) 282-4700
Fax: (208) 282-4696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-194 | Idaho |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 944 | Colorado |
Profile Details
| NPI number | 1972663839 |
|---|---|
| LBN Legal business name | Dickey, John Hanford |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| 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 | 1972663839 | NPPES |
| Idaho | Other | N5012 | BLUE CROSS |
| Idaho | Other | 000010015778 | BLUE CROSS |
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