Dickinson, Thomas A

Dickinson, Thomas A is an individual health care provider with primary practice located at 1055 N 500 W Suite 100 Bldg B, 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, Thomas A can be contacted via phone (801) 374-1268.

Contact Information

Primary practice address
1055 N 500 W Suite 100 Bldg B Provo UT 84604-3305
Phone: (801) 374-1268
Fax: (801) 812-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 1660021205 Utah

Profile Details

NPI number 1376591354
LBN Legal business name Dickinson, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376591354 NPPES
Utah Other 100002620 PALMETTO GBA
Utah Other 29-00040 PALMETTO GBA
Utah Other 107006219101 PALMETTO GBA
Utah Other 0049 PALMETTO GBA
Utah Other QM0000009178 PALMETTO GBA
Utah Other 5285 PALMETTO GBA

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