Dickerson, Samuel Wendell
Dickerson, Samuel Wendell is an individual health care provider with primary practice located at 700 Scott And White Dr , College Station TX 77845-6441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dickerson, Samuel Wendell can be contacted via phone (979) 207-0100.Contact Information
Primary practice address
700 Scott And White Dr
College Station TX 77845-6441
Phone: (979) 207-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | BP1-0022044 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M9971 | Texas |
Profile Details
| NPI number | 1467656025 |
|---|---|
| LBN Legal business name | Dickerson, Samuel Wendell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jul 14th, 2021 - about 4 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 | 1467656025 | NPPES |
| Other | 2790064977 | MYUTMB 2790064977-COMMERCIAL NUMBER |
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