Dickinson, Mark Thomas

Dickinson, Mark Thomas is an individual health care provider with primary practice located at 4601 Carothers Pkwy Ste 475, Franklin TN 37067-5980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dickinson, Mark Thomas can be contacted via phone (615) 790-1660.

Contact Information

Primary practice address
4601 Carothers Pkwy Ste 475 Franklin TN 37067-5980
Phone: (615) 790-1660
Fax: (615) 790-3705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD37792 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X A67587 California

Profile Details

NPI number 1215914239
LBN Legal business name Dickinson, Mark Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Feb 2nd, 2022 - about 2 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 1215914239 NPPES
Tennessee MEDICAID 3886483
Tennessee Other P00035782
Tennessee MEDICAID 64069941
Tennessee Other 4067530

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