Dickson, Bradley Earl

Dickson, Bradley Earl is an individual health care provider with primary practice located at 4079 B Gantz Rd , Grove City OH 43123-4912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dickson, Bradley Earl can be contacted via phone (614) 875-3444.

Contact Information

Primary practice address
4079 B Gantz Rd Grove City OH 43123-4912
Phone: (614) 875-3444
Fax: (614) 875-7780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35065323 Ohio

Profile Details

NPI number 1942422449
LBN Legal business name Dickson, Bradley Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1942422449 NPPES
Other OHIO1200779 UHC
Other OHIO000000122737 UHC

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