Dickman, Daniel Jackson

Dickman, Daniel Jackson is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dickman, Daniel Jackson can be contacted via phone (208) 381-2809.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2809
Fax: (208) 381-1791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 009081 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X R2701 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X O-1709 Idaho

Profile Details

NPI number 1902256548
LBN Legal business name Dickman, Daniel Jackson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Jul 8th, 2022 - about 4 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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