Dickinson, Brandon Thomas

Dickinson, Brandon Thomas is an individual health care provider with primary practice located at 1055 N 500 W Ste 100 , Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dickinson, Brandon Thomas can be contacted via phone (801) 374-1268.

Contact Information

Primary practice address
1055 N 500 W Ste 100 Provo UT 84604-3305
Phone: (801) 374-1268
Fax: (801) 812-5454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD60587041 Washington
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11676583-1205 Utah

Profile Details

NPI number 1770825713
LBN Legal business name Dickinson, Brandon Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2013
Last updated Nov 27th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770825713 NPPES
Washington MEDICAID 1770825713

Popular Providers