Dickson, Susane A.

Dickson, Susane A. is an sole proprietor health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Dickson, Susane A. can be contacted via phone (401) 432-1000.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Phone: (401) 432-1000
Fax: (401) 432-1500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 264742 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME71623 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD17188 Rhode Island

Profile Details

NPI number 1194804054
LBN Legal business name Dickson, Susane A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Aug 20th, 2020 - 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 1194804054 NPPES
Florida MEDICAID 258302000

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