Dickerson, John R

Dickerson, John R is an individual health care provider with primary practice located at 3223 N Webb Rd Suite 1, Wichita KS 67226-8175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Dickerson, John R can be contacted via phone (316) 609-2600.

Contact Information

Primary practice address
3223 N Webb Rd Suite 1 Wichita KS 67226-8175
Fax: (316) 609-2800
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0430242 Kansas

Profile Details

NPI number 1225059025
LBN Legal business name Dickerson, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 31st, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225059025 NPPES
Kansas MEDICAID 100641370C

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