Dickerson, David W
Dickerson, David W is an individual health care provider with primary practice located at 201 W R D Mize Rd , Blue Springs MO 64014-2518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dickerson, David W can be contacted via phone (816) 228-5900.Contact Information
Primary practice address
201 W R D Mize Rd
Blue Springs MO 64014-2518
Phone: (816) 228-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 112757 | Missouri |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 112757 | Missouri |
Profile Details
| NPI number | 1992707558 |
|---|---|
| LBN Legal business name | Dickerson, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1992707558 | NPPES |
| Missouri | Other | 24382035 | BCBS MO |
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