Dicks, David Kenneth

Dicks, David Kenneth is an individual health care provider with primary practice located at 3805 80Th St , Kenosha WI 53142-4951. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dicks, David Kenneth can be contacted via phone (262) 694-0750.

Contact Information

Primary practice address
3805 80Th St Kenosha WI 53142-4951
Phone: (262) 694-0750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12612-40 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 051-034873 Illinois

Profile Details

NPI number 1306122783
LBN Legal business name Dicks, David Kenneth
Credentials B.S
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2011
Last updated Oct 28th, 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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