Dickens, Joel R

Dickens, Joel R is an individual health care provider with primary practice located at 6119 Midtown Ave , Little Rock AR 72205-5313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dickens, Joel R can be contacted via phone (501) 296-1800.

Contact Information

Primary practice address
6119 Midtown Ave Little Rock AR 72205-5313
Phone: (501) 296-1800
Fax: (501) 296-1711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J1516 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 52801 Colorado
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X E-15045 Arkansas

Profile Details

NPI number 1306808910
LBN Legal business name Dickens, Joel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 29th, 2022 - about 2 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 1306808910 NPPES
Texas MEDICAID 118592805
Texas Other 8P1409

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