Jeffrey W Dickerson Md Llc
LBN: Jeffrey W Dickerson Md Llc
Jeffrey W Dickerson Md Llc is an health care organization with primary practice located at 991 Medical Park Drive Suite 202, Maysville KY 41056. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Jeffrey W Dickerson Md Llc can be contacted via phone (606) 759-8000, or through Dickerson, Jeffrey W via phone (606) 759-8000.
Contact Information
Primary practice address
991 Medical Park Drive Suite 202
Maysville KY 41056
Phone: (606) 759-8000
Fax: (606) 759-0461
Website:
Authorized official contact:
Name: Dickerson, Jeffrey W Doctor of Medicine (MD)
Phone: (606) 759-8000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X |
Profile Details
| NPI number | 1942489299 |
|---|---|
| LBN Legal business name | Jeffrey W Dickerson Md Llc |
| DBA Doing business as | |
| Authorized official | Dickerson, Jeffrey W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2007 |
| Last updated | Mar 18th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942489299 | NPPES |
| Kentucky | Other | P12034749 | MULTIPLAN |
| Kentucky | Other | 1210239 | MULTIPLAN |
| Kentucky | Other | 000000322098 | MULTIPLAN |
| Kentucky | Other | 1346317575 | MULTIPLAN |
| Kentucky | Other | K25580 | MULTIPLAN |
| Kentucky | MEDICAID | 2473210 | MULTIPLAN |
| Kentucky | Other | P00206691 | MULTIPLAN |
| Kentucky | MEDICAID | 64258809 | MULTIPLAN |
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