Dickson, Walter Dale

Dickson, Walter Dale is an sole proprietor health care provider with primary practice located at 310 State Route 288 , Ellwood City PA 16117. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dickson, Walter Dale can be contacted via phone (724) 758-5564.

Contact Information

Primary practice address
310 State Route 288 Ellwood City PA 16117
Fax: (724) 758-6251
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC001379L Pennsylvania

Profile Details

NPI number 1003885120
LBN Legal business name Dickson, Walter Dale
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated May 22nd, 2008 - about 17 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 1003885120 NPPES
Pennsylvania Other P00472622 PALMETTO GBA - RAILROAD MEDICARE

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