Dickert, Jim C

Dickert, Jim C is an individual health care provider with primary practice located at 6199 W Gulf To Lake Hwy , Crystal River FL 34429-2679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dickert, Jim C can be contacted via phone (352) 795-0644.

Contact Information

Primary practice address
6199 W Gulf To Lake Hwy Crystal River FL 34429-2679
Phone: (352) 795-0644
Fax: (352) 795-5950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0005062 Florida

Profile Details

NPI number 1073695755
LBN Legal business name Dickert, Jim C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 31st, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073695755 NPPES
Florida MEDICAID OS1276100

Popular Providers