Dickinson, Edward T

Dickinson, Edward T is an individual health care provider with primary practice located at 3400 Spruce Street Ground Silverstein Bldg, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dickinson, Edward T can be contacted via phone (215) 662-6698.

Contact Information

Primary practice address
3400 Spruce Street Ground Silverstein Bldg Philadelphia PA 19104
Phone: (215) 662-6698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD063589L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X MD063589L Pennsylvania

Profile Details

NPI number 1003855529
LBN Legal business name Dickinson, Edward T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 24th, 2019 - about 6 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 1003855529 NPPES
Pennsylvania MEDICAID 0016714200001

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