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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013936814 | NPPES |
| Ohio | MEDICAID | 2024786 | |
| Ohio | MEDICAID | 100460690 |
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