Dickerson, Rex
Dickerson, Rex is an sole proprietor health care provider with primary practice located at 103 Goehmann Ln , Fredericksburg TX 78624-5307. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Dickerson, Rex can be contacted via phone (830) 990-1660.Contact Information
Primary practice address
103 Goehmann Ln
Fredericksburg TX 78624-5307
Phone: (830) 990-1660
Fax: (830) 990-1407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 9558 | Texas |
Profile Details
| NPI number | 1568465631 |
|---|---|
| LBN Legal business name | Dickerson, Rex |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 5th, 2010 - about 14 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 | 1568465631 | NPPES |
| Texas | Other | 608126 | BC & BS PROVIDER NUMBER |
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