Dickerson, Steven R

Dickerson, Steven R is an individual health care provider with primary practice located at 110 29Th Ave N Suite 202, Nashville TN 37203-1401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dickerson, Steven R can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Suite 202 Nashville TN 37203-1401
Phone: (615) 327-4304
Fax: (615) 327-7940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD28027 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD28027 Tennessee

Profile Details

NPI number 1366485328
LBN Legal business name Dickerson, Steven R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 6th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366485328 NPPES
Tennessee Other 10070175 AMERIGROUP
Tennessee Other 3154927 AMERIGROUP
Tennessee Other 64006620 AMERIGROUP
Tennessee Other 050076661 AMERIGROUP
Tennessee Other 1629350 AMERIGROUP
Tennessee MEDICAID 3800326 AMERIGROUP

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