Dickman, Jerome Ivan
Dickman, Jerome Ivan is an sole proprietor health care provider with primary practice located at 33 Saddlebow Rd , Bell Canyon CA 91307-1137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dickman, Jerome Ivan can be contacted via phone (818) 884-5121.Contact Information
Primary practice address
33 Saddlebow Rd
Bell Canyon CA 91307-1137
Phone: (818) 884-5121
Fax: (818) 999-0275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | A21070 | California |
Profile Details
| NPI number | 1174581227 |
|---|---|
| LBN Legal business name | Dickman, Jerome Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Oct 31st, 2016 - about 10 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 | 1174581227 | NPPES |
| California | MEDICAID | 00A210700 |
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