Dickinson, Timothy

Dickinson, Timothy is an individual health care provider with primary practice located at 551 Linn Street , Allegan MI 49010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dickinson, Timothy can be contacted via phone (269) 686-5800.

Contact Information

Primary practice address
551 Linn Street Allegan MI 49010
Phone: (269) 686-5800
Fax: (269) 686-5899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TD035680 Michigan

Profile Details

NPI number 1316928161
LBN Legal business name Dickinson, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Dec 7th, 2011 - about 13 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 1316928161 NPPES
Michigan Other 01-30456 PHP PROV #
Michigan Other 15403 PHP PROV #
Michigan Other TD035680 PHP PROV #
Michigan Other 5714 PHP PROV #
Michigan Other P53504 PHP PROV #
Michigan Other 0800307672 PHP PROV #
Michigan Other 080069543 PHP PROV #
Michigan MEDICAID 1276855 PHP PROV #
Michigan Other 1826150 PHP PROV #
Michigan Other P00361393 PHP PROV #

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