Dickson, David Carroll
Dickson, David Carroll is an sole proprietor health care provider with primary practice located at 612 W. Sheridan Avenue , Shenandoah IA 51601. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist is his primary health care specialty. Dickson, David Carroll can be contacted via phone (712) 246-2635.Contact Information
Primary practice address
612 W. Sheridan Avenue
Shenandoah IA 51601
Phone: (712) 246-2635
Fax: (712) 246-3933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X | 074625 | Iowa |
Profile Details
| NPI number | 1134246895 |
|---|---|
| LBN Legal business name | Dickson, David Carroll |
| Credentials | 1.CERTIFIED PEDORTHI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Oct 6th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134246895 | NPPES |
| Minnesota | MEDICAID | 547455800 |
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