Dickerson, Kristina

Dickerson, Kristina is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. She recently has only one registered license in Nursing Service Providers / Gastroenterology, which is considered as her primary health care specialty. Dickerson, Kristina can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gastroenterology 163WG0100X 4704267262 Michigan

Profile Details

NPI number 1801508890
LBN Legal business name Dickerson, Kristina
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2022
Last updated Dec 21st, 2022 - about 2 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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