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
Phone: (975) 526-9400
Fax: (978) 526-9299
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11116 | Massachusetts |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669445672 | NPPES |
Massachusetts | Other | Y67658 | BCBS |
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