Dickson, Walter Dale
Dickson, Walter Dale is an sole proprietor health care provider with primary practice located at 310 State Route 288 , Ellwood City PA 16117. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dickson, Walter Dale can be contacted via phone (724) 758-5564.Contact Information
Primary practice address
310 State Route 288
Ellwood City PA 16117
Phone: (724) 758-5564
Fax: (724) 758-6251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC001379L | Pennsylvania |
Profile Details
| NPI number | 1003885120 |
|---|---|
| LBN Legal business name | Dickson, Walter Dale |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | May 22nd, 2008 - about 18 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 | 1003885120 | NPPES |
| Pennsylvania | Other | P00472622 | PALMETTO GBA - RAILROAD MEDICARE |
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