Dickinson, Wade Alden

Dickinson, Wade Alden is an individual health care provider with primary practice located at 3152 N Millbrook Ave #Suite B, Fresno CA 93703-1459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Dickinson, Wade Alden can be contacted via phone (559) 244-0133.

Contact Information

Primary practice address
3152 N Millbrook Ave #Suite B Fresno CA 93703-1459
Phone: (559) 244-0133
Fax: (559) 244-0148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X A62554 California

Profile Details

NPI number 1104827922
LBN Legal business name Dickinson, Wade Alden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 18th, 2013 - about 12 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 1104827922 NPPES
Arkansas Other A62554 CAL STATE LIC NUMBER

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