Dickinson, Rodger C

Dickinson, Rodger C is an individual health care provider with primary practice located at 1504 Se 28Th St , Bentonville AR 72712-3988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dickinson, Rodger C can be contacted via phone (479) 273-1111.

Contact Information

Primary practice address
1504 Se 28Th St Bentonville AR 72712-3988
Phone: (479) 273-1111
Fax: (479) 273-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C4563 Arkansas

Profile Details

NPI number 1134190697
LBN Legal business name Dickinson, Rodger C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 8th, 2009 - about 15 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 1134190697 NPPES
Arkansas MEDICAID 126591001
Arkansas MEDICAID 207996307

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