Dickson, Hal S
Dickson, Hal S is an sole proprietor health care provider with primary practice located at 1508 W White River Blvd , Muncie IN 47303-4949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dickson, Hal S can be contacted via phone (765) 288-6828.Contact Information
Primary practice address
1508 W White River Blvd
Muncie IN 47303-4949
Phone: (765) 288-6828
Fax: (765) 741-3979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01041561A | Indiana |
Profile Details
| NPI number | 1992780894 |
|---|---|
| LBN Legal business name | Dickson, Hal S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jun 4th, 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 | 1992780894 | NPPES |
| Indiana | Other | 224040210 | MEDICARE PTAN |
| Indiana | Other | 1100202173 | MEDICARE PTAN |
| Indiana | MEDICAID | 200136610A | MEDICARE PTAN |
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