Dickerson, John Henry
Dickerson, John Henry is an sole proprietor health care provider with primary practice located at 830 E 4Th St Suite 5, Royal Oak MI 48067-2800. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dickerson, John Henry can be contacted via phone (248) 584-4222.Contact Information
Primary practice address
830 E 4Th St Suite 5
Royal Oak MI 48067-2800
Phone: (248) 584-4222
Fax: (248) 584-2225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301006942 | Michigan |
Profile Details
| NPI number | 1700819679 |
|---|---|
| LBN Legal business name | Dickerson, John Henry |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| 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 | 1700819679 | NPPES |
| Michigan | Other | 950F353760 | BCBS |
| Michigan | MEDICAID | 4177350 | BCBS |
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