Dickerson, David Allen
Dickerson, David Allen is an sole proprietor health care provider with primary practice located at 1201 Indian Mound Dr , Mount Sterling KY 40353-1534. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dickerson, David Allen can be contacted via phone (859) 498-4320.Contact Information
Primary practice address
1201 Indian Mound Dr
Mount Sterling KY 40353-1534
Phone: (859) 498-4320
Fax: (859) 499-0882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 019433 | Kentucky |
Profile Details
| NPI number | 1982207841 |
|---|---|
| LBN Legal business name | Dickerson, David Allen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2020 |
| Last updated | Nov 20th, 2020 - about 4 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 | 1982207841 | NPPES |
| Kentucky | Other | NONE | PHARMACY |
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