Dickinson, Doyle W

Dickinson, Doyle W is an individual health care provider with primary practice located at 24 S 18Th St , Allentown PA 18104-5622. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dickinson, Doyle W can be contacted via phone (610) 770-8372.

Contact Information

Primary practice address
24 S 18Th St Allentown PA 18104-5622
Phone: (610) 770-8372
Fax: (610) 770-8648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN320051L Pennsylvania

Profile Details

NPI number 1174597769
LBN Legal business name Dickinson, Doyle W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 25th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174597769 NPPES
Pennsylvania MEDICAID 0017399200004

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