Dickman, James J

Dickman, James J is an individual health care provider with primary practice located at N6101 Nichols Rd , Black River Falls WI 54615-5604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dickman, James J can be contacted via phone (715) 284-5580.

Contact Information

Primary practice address
N6101 Nichols Rd Black River Falls WI 54615-5604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18148 Wisconsin

Profile Details

NPI number 1902838535
LBN Legal business name Dickman, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 10th, 2014 - about 11 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 1902838535 NPPES
Wisconsin MEDICAID 31091400

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