Dicke, Shandall

Dicke, Shandall is an individual health care provider with primary practice located at 548 Se Jackson St , Roseburg OR 97470-4983. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dicke, Shandall can be contacted via phone (541) 492-0241.

Contact Information

Primary practice address
548 Se Jackson St Roseburg OR 97470-4983
Fax: (541) 492-0241
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 20094187RN Oregon

Profile Details

NPI number 1326562570
LBN Legal business name Dicke, Shandall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2017
Last updated Jul 31st, 2017 - 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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