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
Phone: (541) 868-9303
Fax: (541) 868-9306
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477582872 | NPPES |
| Oregon | MEDICAID | 047563 |
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