Dickson, Gerald E

Dickson, Gerald E is an sole proprietor health care provider with primary practice located at 8547 E Market St , Warren OH 44484-2345. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dickson, Gerald E can be contacted via phone (330) 856-6999.

Contact Information

Primary practice address
8547 E Market St Warren OH 44484-2345
Fax: (330) 856-2099
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1842 Ohio

Profile Details

NPI number 1003814302
LBN Legal business name Dickson, Gerald E
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Feb 24th, 2012 - about 12 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 1003814302 NPPES
Ohio MEDICAID 0949488

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