Dickson, Mark John

Dickson, Mark John is an sole proprietor health care provider with primary practice located at 11 Sylvan St Ste 2 , Danvers MA 01923-2748. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dickson, Mark John can be contacted via phone (975) 526-9400.

Contact Information

Primary practice address
11 Sylvan St Ste 2 Danvers MA 01923-2748
Fax: (978) 526-9299
Website:

Health care specialties

Profile Details

NPI number 1669445672
LBN Legal business name Dickson, Mark John
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Sep 28th, 2018 - about 6 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 1669445672 NPPES
Massachusetts Other Y67658 BCBS

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