Dickinson, Kellie Jo
Dickinson, Kellie Jo is an sole proprietor health care provider with primary practice located at 702 Sunset Dr , Ontario OR 97914-3121. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dickinson, Kellie Jo can be contacted via phone (541) 889-9167.Contact Information
Primary practice address
702 Sunset Dr
Ontario OR 97914-3121
Phone: (541) 889-9167
Fax: (541) 889-7873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1861890634 |
|---|---|
| LBN Legal business name | Dickinson, Kellie Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2014 |
| Last updated | Dec 10th, 2014 - about 10 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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