Dickinson, John T

Dickinson, John T is an individual health care provider with primary practice located at 3355 Riverbend Dr Ste 300 , Springfield OR 97477-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dickinson, John T can be contacted via phone (541) 868-9303.

Contact Information

Primary practice address
3355 Riverbend Dr Ste 300 Springfield OR 97477-8800
Fax: (541) 868-9306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD8731 Oregon

Profile Details

NPI number 1477582872
LBN Legal business name Dickinson, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 19th, 2013 - about 11 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 1477582872 NPPES
Oregon MEDICAID 047563

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