Dickerson, Scott Michael

Dickerson, Scott Michael is an individual health care provider with primary practice located at 630 E River St , Elyria OH 44035-5902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dickerson, Scott Michael can be contacted via phone (440) 329-7536.

Contact Information

Primary practice address
630 E River St Elyria OH 44035-5902
Phone: (440) 329-7536
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 318582 Ohio

Profile Details

NPI number 1114237914
LBN Legal business name Dickerson, Scott Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 15 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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