Dickerson, James Wiley

Dickerson, James Wiley is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dickerson, James Wiley can be contacted via phone (508) 941-7228.

Contact Information

Primary practice address
680 Centre St Brockton MA 02302-3308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1020407 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD150778 Oregon

Profile Details

NPI number 1023004512
LBN Legal business name Dickerson, James Wiley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 18th, 2024 - about last year

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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