Dickson, Takara

Dickson, Takara is an individual health care provider with primary practice located at 1860 Pennsylvania Ave Ca Ste 110, Fairfield CA 94533-3550. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Dickson, Takara can be contacted via phone (707) 646-4414.

Contact Information

Primary practice address
1860 Pennsylvania Ave Ca Ste 110 Fairfield CA 94533-3550
Phone: (707) 646-4414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 60134 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60134 California

Profile Details

NPI number 1184249146
LBN Legal business name Dickson, Takara
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2020
Last updated Jan 25th, 2023 - about 2 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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