Dickson, Richard

Dickson, Richard is an individual health care provider with primary practice located at 2033 Meadowview Lane 3Rd Floor, Kingsport TN 37660-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dickson, Richard can be contacted via phone (423) 857-2793.

Contact Information

Primary practice address
2033 Meadowview Lane 3Rd Floor Kingsport TN 37660-4652
Phone: (423) 857-2793
Fax: (423) 578-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO 1355 Tennessee

Profile Details

NPI number 1326040643
LBN Legal business name Dickson, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 16th, 2014 - 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 1326040643 NPPES
Tennessee MEDICAID 3306187
Tennessee MEDICAID 5845483

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