Dickson, Jennifer Marie

Dickson, Jennifer Marie is an sole proprietor health care provider with primary practice located at 67962 Van Dyke Rd , Romeo MI 48065-5163. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Dickson, Jennifer Marie can be contacted via phone (586) 336-4022.

Contact Information

Primary practice address
67962 Van Dyke Rd Romeo MI 48065-5163
Fax: (586) 336-4082
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5501011225 Michigan

Profile Details

NPI number 1558495846
LBN Legal business name Dickson, Jennifer Marie
Credentials DPT, OMPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 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 1558495846 NPPES
Michigan Other 650E008430 BCBSM

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