Dickover, Brian Paul
Dickover, Brian Paul is an individual health care provider with primary practice located at 3500 Franciscan Way Ste 400 , Michigan City IN 46360-0033. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Dickover, Brian Paul can be contacted via phone (219) 861-8785.Contact Information
Primary practice address
3500 Franciscan Way Ste 400
Michigan City IN 46360-0033
Phone: (219) 861-8785
Fax: (219) 861-8789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 01063310A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01063310A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01063310A | Indiana |
Profile Details
| NPI number | 1083699904 |
|---|---|
| LBN Legal business name | Dickover, Brian Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jun 20th, 2024 - about last year |
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 | 1083699904 | NPPES |
| Indiana | MEDICAID | 200862220 |
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