Dickinson, Mary Ellen
Dickinson, Mary Ellen is an individual health care provider with primary practice located at 370 Oak St Suite A, Brockton MA 02301-1341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dickinson, Mary Ellen can be contacted via phone (508) 584-1234.Contact Information
Primary practice address
370 Oak St Suite A
Brockton MA 02301-1341
Phone: (508) 584-1234
Fax: (508) 584-0230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 216258 | Massachusetts |
Profile Details
| NPI number | 1356334429 |
|---|---|
| LBN Legal business name | Dickinson, Mary Ellen |
| Credentials | C-PNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1356334429 | NPPES |
| Massachusetts | Other | 70010000NP9823 | BLUE CROSS BLUE SHIELD |
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