Dickmeyer, Richard S

Dickmeyer, Richard S is an individual health care provider with primary practice located at 1270 E State Road 205 Suite 240, Columbia City IN 46725-9499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dickmeyer, Richard S can be contacted via phone (260) 244-7600.

Contact Information

Primary practice address
1270 E State Road 205 Suite 240 Columbia City IN 46725-9499
Phone: (260) 244-7600
Fax: (260) 244-5212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01029443 Indiana

Profile Details

NPI number 1891796868
LBN Legal business name Dickmeyer, Richard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 24th, 2012 - about 14 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 1891796868 NPPES
Indiana Other 351972384039 TRICARE
Indiana Other P00467073 TRICARE
Indiana Other 3937240025 TRICARE
Indiana Other 1229 TRICARE
Indiana MEDICAID 100263110A TRICARE
Indiana Other 000000325785 TRICARE
Indiana Other 000000570550 TRICARE
Indiana Other 1977073 TRICARE
Indiana Other 4048678 TRICARE

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