Dicken, Alexander Timothy

Dicken, Alexander Timothy is an individual health care provider with primary practice located at 500 Lafayette Ave , Bay City MI 48708-7854. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacy Technician is his primary health care specialty. Dicken, Alexander Timothy can be contacted via phone (989) 893-5200.

Contact Information

Primary practice address
500 Lafayette Ave Bay City MI 48708-7854
Phone: (989) 893-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X P041184
Pharmacy Service Providers / Pharmacy Technician 183700000X 5303039917 Michigan

Profile Details

NPI number 1659032944
LBN Legal business name Dicken, Alexander Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2022
Last updated Jan 7th, 2022 - about 3 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 1659032944 NPPES
Michigan MEDICAID 1516581120

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