Dick, Michael Philip

Dick, Michael Philip is an individual health care provider with primary practice located at 3898 New Vision Dr , Fort Wayne IN 46845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Dick, Michael Philip can be contacted via phone (260) 425-5750.

Contact Information

Primary practice address
3898 New Vision Dr Fort Wayne IN 46845
Phone: (260) 425-5750
Fax: (260) 425-5755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 01041905 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01041905 Indiana

Profile Details

NPI number 1013936814
LBN Legal business name Dick, Michael Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 23rd, 2018 - about 7 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 1013936814 NPPES
Ohio MEDICAID 2024786
Ohio MEDICAID 100460690

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