Dickson, Patricia Irene
Dickson, Patricia Irene is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Genetics And Genomic Med, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Dickson, Patricia Irene can be contacted via phone (314) 454-6093.Contact Information
Primary practice address
1 Childrens Pl Div Ped Genetics And Genomic Med
Saint Louis MO 63110-1002
Phone: (314) 454-6093
Fax: (844) 965-9624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2018016039 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 2018016039 | Missouri |
Profile Details
| NPI number | 1780888644 |
|---|---|
| LBN Legal business name | Dickson, Patricia Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Apr 25th, 2024 - about 7 months 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 | 1780888644 | NPPES |
| Missouri | MEDICAID | 200058367 |
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