Dickeson, Ethan Royce

Dickeson, Ethan Royce is an individual health care provider with primary practice located at 824 N Tyler St , Little Rock AR 72205-3535. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dickeson, Ethan Royce can be contacted via phone (501) 664-2691.

Contact Information

Primary practice address
824 N Tyler St Little Rock AR 72205-3535
Phone: (501) 664-2691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1437994308
LBN Legal business name Dickeson, Ethan Royce
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2024
Last updated Jul 1st, 2024 - about last year

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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