Dickieson, William

Dickieson, William is an individual health care provider with primary practice located at 1213 Mason St , Dearborn MI 48124-2841. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Dickieson, William can be contacted via phone (313) 561-2446.

Contact Information

Primary practice address
1213 Mason St Dearborn MI 48124-2841
Phone: (313) 561-2446
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 001040 Michigan

Profile Details

NPI number 1164480620
LBN Legal business name Dickieson, William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1164480620 NPPES
Michigan Other WD001040 BLUE CROSS LICENSE
Michigan MEDICAID 2120106 BLUE CROSS LICENSE

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