Dickerson, Vivian M

Dickerson, Vivian M is an sole proprietor health care provider with primary practice located at 1 Hoag Dr , Newport Beach CA 92663-4162. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dickerson, Vivian M can be contacted via phone (949) 764-5414.

Contact Information

Primary practice address
1 Hoag Dr Newport Beach CA 92663-4162
Phone: (949) 764-5414
Fax: (949) 764-8339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G049834 California

Profile Details

NPI number 1356527683
LBN Legal business name Dickerson, Vivian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 2008 - about 16 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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