Dickinson, Shirley Ann
Dickinson, Shirley Ann is an individual health care provider with primary practice located at 1355 State Highway 345 , Potsdam NY 13676-9658. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Dickinson, Shirley Ann can be contacted via phone (315) 322-5584.Contact Information
Primary practice address
1355 State Highway 345
Potsdam NY 13676-9658
Phone: (315) 322-5584
Fax: (315) 322-5584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X | New York |
Profile Details
| NPI number | 1659414829 |
|---|---|
| LBN Legal business name | Dickinson, Shirley Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Feb 12th, 2008 - about 16 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 | 1659414829 | NPPES |
| New York | MEDICAID | 0565186 |
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