Dickson, Mark Edward
Dickson, Mark Edward is an sole proprietor health care provider with primary practice located at 3305 N Calais St Suite # 100, Sherman TX 75090-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dickson, Mark Edward can be contacted via phone (903) 957-0016.Contact Information
Primary practice address
3305 N Calais St Suite # 100
Sherman TX 75090-3110
Phone: (903) 957-0016
Fax: (903) 957-0038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | H6165 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19378 | Oklahoma |
Profile Details
| NPI number | 1134108715 |
|---|---|
| LBN Legal business name | Dickson, Mark Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | May 9th, 2012 - about 13 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 | 1134108715 | NPPES |
| Oklahoma | MEDICAID | 100153640A | |
| Oklahoma | MEDICAID | 034452501 |
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