Dickerson, Paul W
Dickerson, Paul W is an sole proprietor health care provider with primary practice located at 20860 N Tatum Blvd Ste 290 , Phoenix AZ 85050-4282. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Dickerson, Paul W can be contacted via phone (480) 563-1144.Contact Information
Primary practice address
20860 N Tatum Blvd Ste 290
Phoenix AZ 85050-4282
Phone: (480) 563-1144
Fax: (480) 563-2371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 4412 | Arizona |
| Chiropractic Providers / Chiropractor | 111N00000X | 4412 | Arizona |
Profile Details
| NPI number | 1861499485 |
|---|---|
| LBN Legal business name | Dickerson, Paul W |
| Credentials | D.C., LTD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2005 |
| Last updated | Mar 8th, 2023 - 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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