Dickson, Thad Shane

Dickson, Thad Shane is an individual health care provider with primary practice located at 16511 34Th Street Kp N , Lakebay WA 98349-9774. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Behavioral Health & Social Service Providers / Mental Health. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other is his primary health care specialty. Dickson, Thad Shane can be contacted via phone (253) 651-7482.

Contact Information

Primary practice address
16511 34Th Street Kp N Lakebay WA 98349-9774
Phone: (253) 651-7482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X CPHIMS - 1592 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Washington

Profile Details

NPI number 1386930733
LBN Legal business name Dickson, Thad Shane
Credentials CPHIMS, PMP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated May 7th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386930733 NPPES
Washington Other DICKSTS PMP PMP
Washington Other 451268 PMP
Washington Other 1592 PMP

Popular Providers