Dickstein, Evan Nathan

Dickstein, Evan Nathan is an individual health care provider with primary practice located at 5301 Buckeystown Pike , Frederick MD 21704-8370. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Dickstein, Evan Nathan can be contacted via phone (301) 733-0330.

Contact Information

Primary practice address
5301 Buckeystown Pike Frederick MD 21704-8370
Phone: (301) 733-0330
Fax: (301) 733-4038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R200789 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R200789 Maryland

Profile Details

NPI number 1942688379
LBN Legal business name Dickstein, Evan Nathan
Credentials NP-PMH
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Feb 15th, 2018 - 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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