Dickerson, Jeremiah E
Dickerson, Jeremiah E is an sole proprietor health care provider with primary practice located at 1 S Prospect St 3Rd Floor, Burlington VT 05401-3456. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Dickerson, Jeremiah E can be contacted via phone (802) 847-0000.Contact Information
Primary practice address
1 S Prospect St 3Rd Floor
Burlington VT 05401-3456
Phone: (802) 847-0000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 042-0011801 | Vermont |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Vermont |
Profile Details
NPI number | 1669511341 |
---|---|
LBN Legal business name | Dickerson, Jeremiah E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 6th, 2007 |
Last updated | Mar 25th, 2015 - about 10 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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