Dickinson, Christine

Dickinson, Christine is an individual health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Dickinson, Christine can be contacted via phone (734) 677-7400.

Contact Information

Primary practice address
1000 Harrington St Mount Clemens MI 48043-2920
Fax: (734) 677-1603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 4301060673 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301060673 Michigan

Profile Details

NPI number 1770542797
LBN Legal business name Dickinson, Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Nov 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 1770542797 NPPES
Michigan MEDICAID 3445124
Michigan Other CI8050

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