Dickinson, Daniel Jackson

Dickinson, Daniel Jackson is an individual health care provider with primary practice located at 5320 Providence Rd Ste 301 , Virginia Beach VA 23464-4122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dickinson, Daniel Jackson can be contacted via phone (757) 413-7600.

Contact Information

Primary practice address
5320 Providence Rd Ste 301 Virginia Beach VA 23464-4122
Phone: (757) 413-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101048745 Virginia

Profile Details

NPI number 1780679936
LBN Legal business name Dickinson, Daniel Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 5th, 2024 - about 2 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 1780679936 NPPES
Virginia MEDICAID 005860521

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