Dickson, Timothy

Dickson, Timothy is an individual health care provider with primary practice located at 1375 S Lapeer Rd Ste 210, Lake Orion MI 48360-1421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dickson, Timothy can be contacted via phone (248) 693-5700.

Contact Information

Primary practice address
1375 S Lapeer Rd Ste 210 Lake Orion MI 48360-1421
Phone: (248) 693-5700
Fax: (248) 693-5715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301059494 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301059494 Michigan

Profile Details

NPI number 1366448896
LBN Legal business name Dickson, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 3rd, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366448896 NPPES
Michigan MEDICAID 3278723

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