Dickson, Brian Glenn
Dickson, Brian Glenn is an sole proprietor health care provider with primary practice located at 1010 S Main St Ste 200 , Jonesboro AR 72401-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dickson, Brian Glenn can be contacted via phone (870) 932-1820.Contact Information
Primary practice address
1010 S Main St Ste 200
Jonesboro AR 72401-3503
Phone: (870) 932-1820
Fax: (870) 972-6712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E2747 | Arkansas |
Profile Details
| NPI number | 1215908710 |
|---|---|
| LBN Legal business name | Dickson, Brian Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | May 27th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215908710 | NPPES |
| Missouri | Other | 1215908710 | MISSOURI MEDICAID |
| Missouri | MEDICAID | 142999001 | MISSOURI MEDICAID |
| Missouri | Other | 200041938 | MISSOURI MEDICAID |
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