Dickey, Thomas O

Dickey, Thomas O is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se 5Th Floor Behavioral Medicine, Charleston WV 25304-1227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Dickey, Thomas O can be contacted via phone (304) 347-1300.

Contact Information

Primary practice address
3200 Maccorkle Ave Se 5Th Floor Behavioral Medicine Charleston WV 25304-1227
Phone: (304) 347-1300
Fax: (304) 347-1397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 11913 West Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 11913 West Virginia

Profile Details

NPI number 1285736991
LBN Legal business name Dickey, Thomas O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jan 7th, 2021 - about 5 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 1285736991 NPPES
West Virginia MEDICAID 0114504000

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