Dickens, Duane

Dickens, Duane is an individual health care provider with primary practice located at 3038 Olive Rd , Trotwood OH 45426-2640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dickens, Duane can be contacted via phone (937) 208-7050.

Contact Information

Primary practice address
3038 Olive Rd Trotwood OH 45426-2640
Phone: (937) 208-7050
Fax: (937) 208-7031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 35061901 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.061901 Ohio

Profile Details

NPI number 1568401685
LBN Legal business name Dickens, Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568401685 NPPES
Ohio MEDICAID 0804801
Ohio MEDICAID 0848015

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