Dickinson, Edward T
Dickinson, Edward T is an individual health care provider with primary practice located at 3400 Spruce Street Ground Silverstein Bldg, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dickinson, Edward T can be contacted via phone (215) 662-6698.Contact Information
Primary practice address
3400 Spruce Street Ground Silverstein Bldg
Philadelphia PA 19104
Phone: (215) 662-6698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD063589L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | MD063589L | Pennsylvania |
Profile Details
| NPI number | 1003855529 |
|---|---|
| LBN Legal business name | Dickinson, Edward T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 24th, 2019 - about 7 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 | 1003855529 | NPPES |
| Pennsylvania | MEDICAID | 0016714200001 |
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